NPIMap

Organization Active NPI

Siskiyou Massage, LLC

  • Specialist
  • Ashland, OR
National Provider Identifier
1972830149
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11678 Issued in OR
Legal business name
SISKIYOU MASSAGE, LLC
Practice address
550 Siskiyou Blvd.
Ashland, OR 97520
Phone
(541) 488-6757
Fax
(541) 482-2064
NPI assigned
Nov 10, 2009
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Mr. Philip Whitmore, LMTNPI 1104006931
Title
Owner
Phone
(541) 488-6757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 11678 OR Primary

Addresses

Primary practice location

550 Siskiyou Blvd.
Ashland, OR 97520

Mailing address

550 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 488-6757

National Provider Directory

National Provider Directory

Locations

550 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 488-6757

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1972830149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-488-6757",
            "fax_number": "541-482-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SISKIYOU BLVD.",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-488-6757",
            "fax_number": "541-482-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-488-6757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.