NPIMap

Organization Active NPI

Muscle and Movement Therapy

  • Health Maintenance Organization
  • Portland, OR
National Provider Identifier
1982012662
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
19679 Issued in OR
Legal business name
MUSCLE AND MOVEMENT THERAPY
Practice address
5940 SE 138TH PL
Portland, OR 97236-4402
Phone
(208) 940-2053
NPI assigned
Jul 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Authorized official

Name
Mona Lee Matthews, LMTNPI 1609210327
Title
LMT
Phone
(208) 940-2053

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
Health Maintenance Organization 302R00000X 19679 OR Primary

Addresses

Primary practice location

5940 SE 138TH PL
Portland, OR 97236-4402

Mailing address

5940 SE 138TH PL
Portland, OR 97236-4402
Phone (208) 940-2053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1982012662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 SE 138TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364402",
            "telephone_number": "208-940-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 SE 138TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364402",
            "telephone_number": "208-940-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE AND MOVEMENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "208-940-2053",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "19679",
            "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 Jul 26, 2014; 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.