Active NPI
Riley Madeline Palcic, LMT
- Massage Therapist
- Bend, OR
National Provider Identifier
1861950750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24891
- Practice address
- 371 SW Upper Terrace Dr Ste 2
Bend, OR 97702-1560 - Phone
- (541) 678-0010
- NPI assigned
- Mar 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24891 | OR | Primary |
Addresses
Primary practice location
371 SW Upper Terrace Dr Ste 2
Bend, OR 97702-1560
Mailing address
PO Box 3384
Bend, OR 97707-0384
Phone (541) 550-9051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0038210 | Other | OR | PACIFIC SOURCE HEALTH PLANS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Bend | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24891 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Mark Schill DC PC | 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": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552089600000",
"number": "1861950750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3384",
"city": "BEND",
"state": "OR",
"postal_code": "977070384",
"telephone_number": "541-550-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 SW UPPER TERRACE DR STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977021560",
"telephone_number": "541-678-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALCIC",
"first_name": "RILEY",
"middle_name": "MADELINE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-09",
"last_updated": "2019-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE HEALTH PLANS",
"identifier": "G0038210",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Bend",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "371 SW Upper Terrace Dr Ste 2",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977021560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.