Mary E Tindall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20871 Issued in OR

Practice address

5424 SE 82ND Ave
Portland, OR 97266-4811

Phone

(503) 477-8720

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tindall Therapeutic Massage LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1275466393
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1932660271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SW MOODY AVE APT 512",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394733",
            "telephone_number": "971-706-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664811",
            "telephone_number": "503-477-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Timpani, MSW
• Carole Anne Timpone, O.D.
• Andrew Tims, PHARM.D.
• Tin M. Le DMD, PC
• Tindall Therapeutic Massage LLC
• Kimberly Ann Tindel, L.AC.
• Madison L Tindle
• Frances T Ting, M.D.
• Mollie Tingle
• Christina M Tingley

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.