Organization Active NPI

Kirstin J Schumaker

  • Mechanotherapist
  • Portland, OR
National Provider Identifier
1902133283
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
6582 Issued in OR
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

Updated by the provider on Feb 1, 2016

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)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.