Active NPI
Jamie Anne Raskauskas, PTA,LMT
- Massage Therapist
- Happy Valley, OR
National Provider Identifier
1831791912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10401 | OR | MD | Clinical Social Worker |
| 08830 | OR | MD | Physical 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.