Active NPI
Timothy S Sinclair
- Massage Therapist
- Portland, OR
National Provider Identifier
1881315265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27127
- Practice address
- 726 SW 11TH Ave Apt 406
Portland, OR 97205-2142 - Phone
- (832) 989-6879
- NPI assigned
- Sep 6, 2022
- Sex
- Male
- 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 | 27127 | OR | Primary |
Addresses
Primary practice location
726 SW 11TH Ave Apt 406
Portland, OR 97205-2142
Mailing address
726 SW 11TH Ave Apt 406
Portland, OR 97205-2142
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 |
|---|---|---|---|
| 27127 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1881315265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 SW 11TH AVE APT 406",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 SW 11TH AVE APT 406",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052142",
"telephone_number": "832-989-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "TIMOTHY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.