Mallory Joyce Graves, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24867 Issued in OR

Practice address

18565 W Baseline Rd Ste a
Aloha, OR 97006-2942

Phone

(503) 352-4378

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Heart Home Massage and Healing Arts LLC

  • Massage Therapist
  • Beaverton, OR
  • NPI 1841184124
  NPD Authorized official
• Align & Shine LLC

  • Chiropractor
  • Hillsboro, OR
  • NPI 1548939762
  NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932920816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 SW PROSPECT CT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970784318",
            "telephone_number": "480-227-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18565 W BASELINE RD STE A",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970062942",
            "telephone_number": "503-352-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MALLORY",
        "middle_name": "JOYCE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Emilia Gomez
• Joseph Rockwell Gonzales, PHARMD
• Gayle Goodman, THW
• Michelle L Graber, D.M.D.
• Erika Graves
• Susan Kay Gray, RDH
• David Michael Greenleaf, BSW
• Conner Alexander Gremillion
• Ariana Isabel Grimaldo
• Paula Rene Grimes, L.M.T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.