Individual provider Active NPI

Grace Parker, LMT

  • Massage Therapist
  • Klamath Falls, OR
National Provider Identifier
1861209983
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28740 Issued in OR
Practice address
2316 S 6TH St Ste a
Klamath Falls, OR 97601-4300
Phone
(541) 887-2030
Fax
(541) 887-2070
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 28740 OR Primary

Addresses

Primary practice location

2316 S 6TH St Ste a
Klamath Falls, OR 97601-4300

Mailing address

4344 Calimesa Way
Klamath Falls, OR 97603-7795
Phone (541) 891-8714

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
28740ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Out Loud, LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

2316 S 6th St
Ste A
Klamath Falls, OR 97601
Phone (541) 887-2030

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1861209983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 CALIMESA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037795",
            "telephone_number": "541-891-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S 6TH ST STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014300",
            "telephone_number": "541-887-2030",
            "fax_number": "541-887-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.