Active NPI
Kyle Crane, L.M.T.
- Massage Therapist
- Portland, OR
National Provider Identifier
1992088413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7260
- Practice address
- 5331 SW Macadam Ave Ste 307
Portland, OR 97239-3859 - Phone
- (503) 545-2536
- NPI assigned
- Sep 21, 2011
- Sex
- Male
- 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 | 7260 | OR | Primary |
Addresses
Primary practice location
5331 SW Macadam Ave Ste 307
Portland, OR 97239-3859
Mailing address
22143 Horizon Dr
West Linn, OR 97068-8253
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7260 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukie Spine and Sport, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Milwaukie, OR
- NPI 1679850010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1992088413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22143 HORIZON DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 SW MACADAM AVE STE 307",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393859",
"telephone_number": "503-545-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "KYLE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "7260",
"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 May 27, 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.