Individual provider Active NPI

Jamie Anne Raskauskas, PTA,LMT

  • Massage Therapist
  • Happy Valley, OR
National Provider Identifier
1831791912
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10401 Issued in OR
Practice address
14172 SE Rolling Meadows Dr
Happy Valley, OR 97086-6078
Phone
(541) 993-1374
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 08830 OR
Massage Therapist 225700000X 10401 OR Primary

Addresses

Primary practice location

14172 SE Rolling Meadows Dr
Happy Valley, OR 97086-6078

Mailing address

14172 SE Rolling Meadows Dr
Happy Valley, OR 97086-6078
Phone (541) 993-1374

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.raskauskas@jhie.net Direct

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
10401ORMDClinical Social Worker
08830ORMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1831791912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14172 SE ROLLING MEADOWS DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866078",
            "telephone_number": "541-993-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14172 SE ROLLING MEADOWS DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866078",
            "telephone_number": "541-993-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKAUSKAS",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "credential": "PTA,LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08830",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.raskauskas@jhie.net",
            "affiliation": "N",
            "endpointDescription": "Through Reliance eHealth Collaborative",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6427 SE 80th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972066375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.