Active NPI
Sara Mosher-Agbayani, LMT
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1881967859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6551
- Practice address
- 1500 NW Bethany Blvd
Suite 135
Beaverton, OR 97006-5208 - Phone
- (503) 645-5810
- NPI assigned
- Feb 21, 2012
- 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 | 6551 | OR | Primary |
Addresses
Primary practice location
1500 NW Bethany Blvd
Suite 135
Beaverton, OR 97006-5208
Mailing address
21000 SW Charlene St
Aloha, OR 97006-1881
Phone (503) 913-8062
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1881967859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 SW CHARLENE ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "970061881",
"telephone_number": "503-913-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW BETHANY BLVD",
"address_2": "SUITE 135",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065208",
"telephone_number": "503-645-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER-AGBAYANI",
"first_name": "SARA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "6551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.