Individual provider Active NPI

Roy Yeong Lee, LMT #023272

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1932987716
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
023272 Issued in OR
Practice address
819 SE Morrison St
Portland, OR 97214-6307
Phone
(503) 753-1141
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 023272 OR Primary

Addresses

Primary practice location

819 SE Morrison St
Portland, OR 97214-6307

Mailing address

9131 SE Valentine Dr
Happy Valley, OR 97086-3448
Phone (503) 753-1141

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

LicenseStateTypeSpecialty
023272ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Treat LLC Massage Therapist CurrentSince Nov 3, 2024 Accepting new patients

Locations

819 SE Morrison St
Portland, OR 97214
Phone (503) 753-1141

819 SE Morrison St
Ste 210
Portland, OR 97214

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.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1932987716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 SE VALENTINE DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863448",
            "telephone_number": "503-753-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146307",
            "telephone_number": "503-753-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROY",
        "middle_name": "YEONG",
        "credential": "LMT #023272",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.