Active NPI
Reathel Earl Geary III, LMT
- Massage Therapist
- Eugene, OR
National Provider Identifier
1912422429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023513
- Practice address
- 3575 Donald St Ste 630
Eugene, OR 97405-4775 - Phone
- (541) 525-0191
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- 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 | 023513 | OR | Primary |
Addresses
Primary practice location
3575 Donald St Ste 630
Eugene, OR 97405-4775
Mailing address
1957 Lawrence St
Eugene, OR 97405-2649
Phone (541) 686-4461
Other practice location 1
66 Club Rd
Eugene, OR 97401-2420
Phone (360) 510-4033
Other practice location 2
35 W 8th Ave
Eugene, OR 97401-2901
Phone (541) 686-4461
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023513 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912422429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 LAWRENCE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052649",
"telephone_number": "541-686-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 DONALD ST STE 630",
"city": "EUGENE",
"state": "OR",
"postal_code": "974054775",
"telephone_number": "541-525-0191"
}
],
"practiceLocations": [
{
"address_1": "66 Club Rd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012420",
"country_code": "US",
"telephone_number": "360-510-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012901",
"country_code": "US",
"telephone_number": "541-686-4461",
"fax_number": "541-686-4465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARY",
"first_name": "REATHEL",
"middle_name": "EARL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "023513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.