NPIMap

Individual provider Active NPI

Stephanie Jo Massey, L.M.T.

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1821273418
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13098 Issued in OR
Practice address
107 SE Washington St
#125
Portland, OR 97214-2103
Phone
(503) 239-2639
Fax
(503) 239-2639
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 13098 OR Primary

Addresses

Primary practice location

107 SE Washington St
#125
Portland, OR 97214-2103

Mailing address

107 SE Washington St
#125
Portland, OR 97214-2103
Phone (503) 239-2639

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
13098ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Classic Body Work LLC Massage Therapist Past Accepting new patients
Classic Body Restoration LLC Massage Therapist Past Accepting new patients

Organizations & group practices 2

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1821273418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "#125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-239-2639",
            "fax_number": "503-239-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "#125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-239-2639",
            "fax_number": "503-239-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2011; 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.