Ryan Daniel Beam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27501 Issued in OR

Practice address

3939 NE Hancock St Ste 311
Portland, OR 97212-5321

Phone

(928) 853-9929

NPI assigned

Dec 1, 2023

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

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

Locations

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.

• Expanse Massage & Bodywork LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1912722596

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1932975752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 NE 24TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116128",
            "telephone_number": "928-853-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST STE 311",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "928-853-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Beall
• Ryan P Beall, M.D.
• Allan Fitzpatrick Beals-Gibson
• Michelle Beam, MD, MPH
• Richard R. Beam, M.D.
• Sadie Grace Beam
• Audrey Abigail Beaman, CADC-R
• Douglas Neal Beaman, MD
• Peter Jay Beaman, RN
• Amy Bean, LPTA, LMT

• 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 Nov 13, 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.