Individual provider Active NPI

Aron Nova Daniels, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1831852110
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25507 Issued in OR
Practice address
333 NE Hancock St Ste 13
Portland, OR 97212-3941
Phone
(971) 801-0430
Fax
(888) 388-2469
NPI assigned
Oct 14, 2021
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 25507 OR Primary

Addresses

Primary practice location

333 NE Hancock St Ste 13
Portland, OR 97212-3941

Mailing address

1817 NE Weidler St Apt 1
Portland, OR 97232-1491
Phone (971) 801-0430

Other names 1

  • Nora Lubben Former name

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
25507ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aron Daniels LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

333 NE Hancock St
Ste 13
Portland, OR 97212
Phone (408) 497-5683

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1831852110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NE WEIDLER ST APT 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321491",
            "telephone_number": "971-801-0430",
            "fax_number": "888-388-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE HANCOCK ST STE 13",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123941",
            "telephone_number": "971-801-0430",
            "fax_number": "888-388-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ARON",
        "middle_name": "NOVA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "LUBBEN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 16, 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.