NPIMap

Organization Active NPI

Elements Therapeutic Massage

  • Massage Therapist
  • West Linn, OR
National Provider Identifier
1861715765
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4029 Issued in OR
Legal business name
ELEMENTS THERAPEUTIC MASSAGE
Practice address
22000 Willamette Dr
107
West Linn, OR 97068-3275
Phone
(503) 722-8888
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Phyllis McMillin
Title
Owner
Phone
(503) 722-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 4029 OR Primary

Addresses

Primary practice location

22000 Willamette Dr
107
West Linn, OR 97068-3275

Mailing address

22000 Willamette Dr
107
West Linn, OR 97068-3275

National Provider Directory

National Provider Directory

Locations

22000 Willamette Dr
Ste 107
West Linn, OR 97068
Phone (503) 722-8888

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1861715765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 WILLAMETTE DR",
            "address_2": "107",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 WILLAMETTE DR",
            "address_2": "107",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683275",
            "telephone_number": "503-722-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLIN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-722-8888"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.