Individual provider Active NPI

Cheri Marie Roulet, LMT

  • Massage Therapist
  • Wilsonville, OR
National Provider Identifier
1861898231
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7584 Issued in OR
Practice address
29955 SW Boones Ferry Rd Ste J
Wilsonville, OR 97070-9228
Phone
(503) 701-7072
Fax
(503) 786-8731
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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 7584 OR Primary

Addresses

Primary practice location

29955 SW Boones Ferry Rd Ste J
Wilsonville, OR 97070-9228

Mailing address

PO Box 68881
Milwaukie, OR 97268
Phone (503) 701-7072

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
7584ORMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cheri M. Roulet, LMT Massage Therapist Past Accepting new patients

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1861898231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68881",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97268",
            "telephone_number": "503-701-7072",
            "fax_number": "503-786-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29955 SW BOONES FERRY RD STE J",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709228",
            "telephone_number": "503-701-7072",
            "fax_number": "503-786-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROULET",
        "first_name": "CHERI",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.