Active NPI
Kirstin J Schumaker
- Mechanotherapist
- Portland, OR
National Provider Identifier
1902133283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 6582
- Legal business name
- KIRSTIN J SCHUMAKER
- Practice address
- 2455 NW Marshall St
Suite 11a
Portland, OR 97210-3159 - Phone
- (503) 720-7403
- NPI assigned
- Nov 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirstin Schumaker, L.M.T
- Title
- Owner
- Phone
- (503) 720-7403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 6582 | OR | Primary |
Addresses
Primary practice location
2455 NW Marshall St
Suite 11a
Portland, OR 97210-3159
Mailing address
2455 NW Marshall St
Suite 11a
Portland, OR 97210-3159
Phone (503) 720-7403
Other names 1
- Agile Body Structural Integration
National Provider Directory
National Provider DirectoryLocations
2455 NW Marshall St
Ste 11A
Portland, OR 97210
Phone (503) 276-1296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454284800000",
"number": "1902133283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 11A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103159",
"telephone_number": "503-720-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 11A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103159",
"telephone_number": "503-720-7403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRSTIN J SCHUMAKER",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-07",
"last_updated": "2016-02-01",
"status": "A",
"authorized_official_last_name": "SCHUMAKER",
"authorized_official_first_name": "KIRSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-720-7403",
"authorized_official_credential": "L.M.T"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "OR",
"license": "6582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Agile Body Structural Integration",
"code": "3",
"type": "Doing Business As"
}
]
}
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 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.