Individual provider Active NPI

Abbie Clayton, LMT

  • Massage Therapist
  • Tualatin, OR
National Provider Identifier
1902278021
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21313 Issued in OR
Practice address
18676 SW Boones Ferry Rd
Tualatin, OR 97062-8435
Phone
(971) 404-1736
NPI assigned
Oct 28, 2015
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 21313 OR Primary

Addresses

Primary practice location

18676 SW Boones Ferry Rd
Tualatin, OR 97062-8435

Mailing address

16122 SW Gage LN
Beaverton, OR 97006-5081

Other practice location 1

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875
Phone (503) 387-3205

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
21313ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go to the Zone Wellness Massage Therapist CurrentSince Nov 17, 2024 Accepting new patients
RF Heikens Enterprises, Inc Massage Therapist Past Accepting new patients

Locations

18676 SW Boones Ferry Rd
Tualatin, OR 97062
Phone (971) 404-1736

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, 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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1902278021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16122 SW GAGE LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628435",
            "telephone_number": "971-404-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Monroe Pkwy Ste U",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358875",
            "country_code": "US",
            "telephone_number": "503-387-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "ABBIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.