Individual provider Active NPI

Sierra Elizabeth Gross, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1831692920
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24147 Issued in OR
Practice address
2122 NW Quimby St
Portland, OR 97210
Phone
(503) 292-7668
NPI assigned
Mar 14, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 24147 OR Primary

Addresses

Primary practice location

2122 NW Quimby St
Portland, OR 97210

Mailing address

2122 NW Quimby St
Portland, OR 97210-2622
Phone (503) 272-7668

Other practice location 1

2122 NW Quimby St
Portland, OR 97210
Phone (503) 292-7668

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rootwholebody.com

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
24147ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Whole Body Health, Inc Massage Therapist CurrentSince Oct 16, 2022 Accepting new patients
Root Whole Body Health, Inc CurrentSince Oct 16, 2022 Accepting new patients
Hawthorne Chiropractic PC PastSince Sep 15, 2000 Accepting new patients

Locations

2122 NW Quimby St
Portland, OR 97210
Phone (503) 288-7668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1831692920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 NW QUIMBY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102622",
            "telephone_number": "503-272-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 NW QUIMBY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-292-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 NW Quimby St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97210",
            "country_code": "US",
            "telephone_number": "503-292-7668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SIERRA",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rootwholebody.com",
            "affiliation": "N",
            "address_1": "2122 NW Quimby St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 21, 2019; 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.