Individual provider Active NPI

Rachel E Wilson, LMT

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1831851443
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26409 Issued in OR
Practice address
5035 NE Elam Young Pkwy Ste 500
Hillsboro, OR 97124-6473
Phone
(503) 844-4325
Fax
(503) 400-7984
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 26409 OR Primary

Addresses

Primary practice location

5035 NE Elam Young Pkwy Ste 500
Hillsboro, OR 97124-6473

Mailing address

5035 NE Elam Young Pkwy Ste 500
Hillsboro, OR 97124-6473
Phone (503) 844-4325

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNOT A MEDICARE PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL janeapp.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
26409ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PJG Enterprises, Inc PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1831851443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY STE 500",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246473",
            "telephone_number": "503-844-4325",
            "fax_number": "503-400-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY STE 500",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246473",
            "telephone_number": "503-844-4325",
            "fax_number": "503-400-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT A MEDICARE PROVIDER",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "5035 NE Elam Young Pkwy Ste 500",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971246473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.