April McCoy
Individual provider Active NPI Massage Therapist · Estacada, OR
NPI 1912486127 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1912486127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 023572
- Practice address
- 204 N Broadway St
Estacada, OR 97023-8542 - Phone
- (971) 291-4710
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukie Chiropractic Center | Past | Accepting new patients | |
| Keith D. Johns D.C., P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 023572 | Yes |
Addresses
Primary practice location
204 N Broadway St
Estacada, OR 97023-8542
Mailing address
204 N Broadway St
Estacada, OR 97023-8542
Other practice location 1
3716 SE International Way
Milwaukie, OR 97222-6001
Phone (503) 659-0073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9367691 | Other | OR | STATE ID |
Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.