NPIMap

Organization Active NPI

Samantha Kreizenbeck

  • Massage Therapist
  • Aloha, OR
National Provider Identifier
1851685267
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16765 Issued in OR
Legal business name
SAMANTHA KREIZENBECK
Practice address
20630 SW Vienna Dr
Aloha, OR 97007-4115
Phone
(503) 464-6410
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Samantha KreizenbeckNPI 1457644916
Title
Massage Therapist
Phone
(503) 464-6410

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 16765 OR Primary

Addresses

Primary practice location

20630 SW Vienna Dr
Aloha, OR 97007-4115

Mailing address

20630 SW Vienna Dr
Aloha, OR 97007-4115
Phone (503) 464-6410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1851685267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20630 SW VIENNA DR",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970074115",
            "telephone_number": "503-464-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20630 SW VIENNA DR",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970074115",
            "telephone_number": "503-464-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA KREIZENBECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "KREIZENBECK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-464-6410"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.