Individual provider Active NPI

George Anthony Nervez

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1891219994
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22943 Issued in OR
Practice address
1222 SE Division St
Portland, OR 97202-1017
Phone
(503) 231-9879
Fax
(503) 233-4732
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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 22943 OR Primary

Addresses

Primary practice location

1222 SE Division St
Portland, OR 97202-1017

Mailing address

1222 SE Division St
Portland, OR 97202-1017
Phone (503) 231-9879

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
22943ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pate Acupuncture & Chinese Medicine Past Accepting new patients
Hawthorne Chiropractic PC PastSince Sep 15, 2000 Accepting new patients

Organizations & group practices 2

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1891219994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021017",
            "telephone_number": "503-231-9879",
            "fax_number": "503-233-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERVEZ",
        "first_name": "GEORGE",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22943",
            "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 Jul 31, 2017; 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.