Individual provider Active NPI

Samuel Horsfall, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1831963305
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26638 Issued in OR
Practice address
1274 W 7TH Ave
Eugene, OR 97402-4523
Phone
(541) 762-1755
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 26638 OR Primary

Addresses

Primary practice location

1274 W 7TH Ave
Eugene, OR 97402-4523

Mailing address

1621 Adkins St
Eugene, OR 97401-5002
Phone (206) 605-4090

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
26638ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Movement Project CurrentSince Nov 19, 2023 Accepting new patients

Locations

1274 W 7th Ave
Eugene, OR 97402
Phone (541) 505-4000

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1831963305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 ADKINS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015002",
            "telephone_number": "206-605-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024523",
            "telephone_number": "541-762-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSFALL",
        "first_name": "SAMUEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.