Active NPI
Patrick Michael Belle-Isle, LMT
- Mechanotherapist
- McMinnville, OR
National Provider Identifier
1922320068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 16514
- Practice address
- 1018 NE 3Rd St
Ste: C
McMinnville, OR 97128-4403 - Phone
- (503) 883-9375
- Fax
- (503) 427-7851
- NPI assigned
- Feb 16, 2010
- Last updated
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 16514 | OR | Primary |
Addresses
Primary practice location
1018 NE 3Rd St
Ste: C
McMinnville, OR 97128-4403
Mailing address
3051 Brittany Dr
Forest Grove, OR 97116-3125
Phone (503) 430-7515
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 |
|---|---|---|---|
| 16514 | OR | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Bodywork and Massage LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- McMinnville, OR
- NPI 1982907267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1922320068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 BRITTANY DR",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971163125",
"telephone_number": "503-430-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 NE 3RD ST",
"address_2": "STE: C",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284403",
"telephone_number": "503-883-9375",
"fax_number": "503-427-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLE-ISLE",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "16514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.