Individual provider Active NPI

Cassandra Mae Ventrella, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1962261925
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT24647 Issued in OR
Practice address
1200 Executive Pkwy Ste 230
Eugene, OR 97401-2365
Phone
(541) 636-3278
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 LMT24647 OR Primary

Addresses

Primary practice location

1200 Executive Pkwy Ste 230
Eugene, OR 97401-2365

Mailing address

2772 Kalmia St
Eugene, OR 97404-1853
Phone (541) 971-8701

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
LMT24647ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Hyperbarics Eugnene PastSince Mar 17, 2024 Accepting new patients
NLM Eugene LLC PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1962261925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 KALMIA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041853",
            "telephone_number": "541-971-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY STE 230",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012365",
            "telephone_number": "541-636-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRELLA",
        "first_name": "CASSANDRA",
        "middle_name": "MAE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT24647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

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