Individual provider Active NPI

Jeremy Powers, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1871041392
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
23713 Issued in OR
Practice address
882 Van Buren St
Eugene, OR 97402
Phone
(541) 525-0363
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 3386 NE
Massage Therapist 225700000X 23713 OR Primary

Addresses

Primary practice location

882 Van Buren St
Eugene, OR 97402

Mailing address

882 Van Buren St
Eugene, OR 97402-4822
Phone (541) 525-0363

Other practice location 1

358 W 8th Ave
Eugene, OR 97401-2835
Phone (402) 884-1300

Other practice location 2

358 W 8th Ave
Eugene, OR 97401-2835
Phone (402) 884-1300

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
3386NEMDMassage Therapist
23713ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1871041392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 VAN BUREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024822",
            "telephone_number": "541-525-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 VAN BUREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "541-525-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012835",
            "country_code": "US",
            "telephone_number": "402-884-1300",
            "fax_number": "402-939-0906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012835",
            "country_code": "US",
            "telephone_number": "402-884-1300",
            "fax_number": "402-939-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JEREMY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "3386",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.