NPIMap

Individual provider Active NPI

Thor Carstensen, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1811458771
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26600 Issued in OR
Practice address
5253 NE Sandy Blvd
Portland, OR 97213-2562
Phone
(503) 893-5131
Fax
(503) 914-0923
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 26600 OR Primary

Addresses

Primary practice location

5253 NE Sandy Blvd
Portland, OR 97213-2562

Mailing address

5253 NE Sandy Blvd
Portland, OR 97213-2562
Phone (503) 893-5131

Other identifiers 1

IdentifierTypeStateIssuer
26600OtherORSTATE LICENSE

Other names 1

  • Christopher Carstensen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26600ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Spine & Injury Center, LLC CurrentSince Nov 9, 2021 Accepting new patients
Telecare Mental Health Services of Oregon, Inc Past Accepting new patients
Telecare Mental Health Services of Oregon, Inc Past Accepting new patients

Locations

5253 NE Sandy Blvd
Portland, OR 97213
Phone (503) 766-4881

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1811458771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132562",
            "telephone_number": "503-893-5131",
            "fax_number": "503-914-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132562",
            "telephone_number": "503-893-5131",
            "fax_number": "503-914-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENSEN",
        "first_name": "THOR",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26600",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "CARSTENSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.