Individual provider Active NPI

Patrick K Rodgers, LMT

  • Massage Therapist
  • Tigard, OR
National Provider Identifier
1821853466
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27032 Issued in OR
Practice address
12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone
(503) 716-8281
Fax
(503) 716-8783
NPI assigned
Feb 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 27032 OR Primary

Addresses

Primary practice location

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802

Mailing address

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone (503) 716-8281

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
27032ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Oltmann DC LLC Multi-Specialty CurrentSince Feb 18, 2024 Accepting new patients
Straight Up Chiropractic Multi-Specialty CurrentSince Feb 18, 2024 Accepting new patients

Locations

12700 SW North Dakota St
Ste 180
Tigard, OR 97223
Phone (503) 716-8281

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1821853466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "PATRICK",
        "middle_name": "K",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.