Individual provider Active NPI

Erik Neil Cannard, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1881954394
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14672 Issued in OR
Practice address
415 N Killingsworth St Ste 205
Portland, OR 97217-2440
Phone
(503) 544-7540
NPI assigned
May 18, 2012
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14672 OR Primary

Addresses

Primary practice location

415 N Killingsworth St Ste 205
Portland, OR 97217-2440

Mailing address

10157 N Ziegler Ave
Portland, OR 97203-1178
Phone (503) 544-7540

Other practice location 1

4922 N Vancouver Ave
Portland, OR 97217-2826
Phone (503) 493-9398

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
14672ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sourcing Vitality, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1881954394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 N ZIEGLER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031178",
            "telephone_number": "503-544-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N KILLINGSWORTH ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172440",
            "telephone_number": "503-544-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4922 N Vancouver Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972172826",
            "country_code": "US",
            "telephone_number": "503-493-9398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNARD",
        "first_name": "ERIK",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14672",
            "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 Feb 7, 2025; 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.