Active NPI
Kelly Faye Lewis, LMT
- Massage Therapist
- McMinnville, OR
National Provider Identifier
1962735696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15441
- Practice address
- 707 E 5TH St
McMinnville, OR 97128-4508 - Phone
- (503) 484-8538
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15441 | OR | Primary |
Addresses
Primary practice location
707 E 5TH St
McMinnville, OR 97128-4508
Mailing address
14805 SE Foster Rd
Dayton, OR 97114-7426
Phone (503) 484-8538
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15441 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1962735696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 SE FOSTER RD",
"city": "DAYTON",
"state": "OR",
"postal_code": "971147426",
"telephone_number": "503-484-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E 5TH ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284508",
"telephone_number": "503-484-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KELLY",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.