Active NPI
Daniel Blaine Egleston, LMT
- Massage Therapist
- Grants Pass, OR
National Provider Identifier
1871616920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6506
- Practice address
- 277 W Jones Creek Rd
Grants Pass, OR 97526-3606 - Phone
- (541) 471-7245
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6506 | OR | Primary |
| Massage Therapist | 225700000X | MA00012185 | WA |
Addresses
Primary practice location
277 W Jones Creek Rd
Grants Pass, OR 97526-3606
Mailing address
277 W Jones Creek Rd
Grants Pass, OR 97526-3606
Phone (541) 471-7245
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 |
|---|---|---|---|
| 6506 | OR | MD | Chiropractor |
| MA00012185 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871616920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 W JONES CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263606",
"telephone_number": "541-471-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 W JONES CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263606",
"telephone_number": "541-471-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLESTON",
"first_name": "DANIEL",
"middle_name": "BLAINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "6506",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00012185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.