Individual provider Active NPI

Mario Andres Messina-Azekri, L.M.T.

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1972728798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5735 Issued in OR
Practice address
811 NW 19TH Ave
Suite 301
Portland, OR 97209-1401
Phone
(503) 228-3081
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5735 OR Primary

Addresses

Primary practice location

811 NW 19TH Ave
Suite 301
Portland, OR 97209-1401

Mailing address

PO Box 236
Rhododendron, OR 97049-0236
Phone (503) 622-6029

Other names 1

  • Mr. Mario Messina Other name

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
5735ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972728798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "RHODODENDRON",
            "state": "OR",
            "postal_code": "970490236",
            "telephone_number": "503-622-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NW 19TH AVE",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091401",
            "telephone_number": "503-228-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA-AZEKRI",
        "first_name": "MARIO",
        "middle_name": "ANDRES",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "MESSINA",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 8, 2007; 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.