Active NPI
Kendall Moyer
- Massage Therapist
- Portland, OR
National Provider Identifier
1881414696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26900
- Practice address
- 1626 NE Alberta St
Portland, OR 97211-5048 - Phone
- (503) 287-1444
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 26900 | OR | Primary |
Addresses
Primary practice location
1626 NE Alberta St
Portland, OR 97211-5048
Mailing address
8029 SE Henry St
Portland, OR 97206-6334
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 |
|---|---|---|---|
| 26900 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Aware Massage | Single Specialty | Current | Accepting new patients |
Locations
1626 NE Alberta St
Ste A
Portland, OR 97211
Phone (503) 287-1444
1626 NE Alberta St
Portland, OR 97211
Phone (503) 282-3296
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": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1881414696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8029 SE HENRY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 NE ALBERTA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115048",
"telephone_number": "503-287-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "KENDALL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OR",
"license": "26900",
"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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.