NPIMap

Organization Active NPI

Vitality Massage Clinic

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1841540374
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16521 Issued in OR
Legal business name
VITALITY MASSAGE CLINIC
Practice address
11238 SE 21St Ave
Milwaukie, OR 97222-7763
Phone
(503) 577-9358
NPI assigned
Sep 12, 2012
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Cassandra Barton, L.M.T.NPI 1629201801
Title
Owner/Therapist
Phone
(503) 577-9358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 16521 OR Primary

Addresses

Primary practice location

11238 SE 21St Ave
Milwaukie, OR 97222-7763

Mailing address

11238 SE 21St Ave
Milwaukie, OR 97222-7763
Phone (503) 577-9358

National Provider Directory

National Provider Directory

Locations

11238 SE 21st Ave
Milwaukie, OR 97222
Phone (503) 577-9358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1841540374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11238 SE 21ST AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227763",
            "telephone_number": "503-577-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11238 SE 21ST AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227763",
            "telephone_number": "503-577-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "503-577-9358",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.