Active NPI
Pattie Lo
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1992123939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18696
- Practice address
- 3805 SW Hall Blvd
Beaverton, OR 97005-2049 - Phone
- (503) 526-9285
- NPI assigned
- Apr 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Massage Therapist | 225700000X | 18696 | OR | Primary |
Addresses
Primary practice location
3805 SW Hall Blvd
Beaverton, OR 97005-2049
Mailing address
3805 SW Hall Blvd
Beaverton, OR 97005-2049
Phone (503) 526-9285
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 |
|---|---|---|---|
| 18696 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio Foot Reflexology and Massage Center, LLC | Massage Therapist | 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.
-
- Massage Therapist
- Beaverton, OR
- NPI 1740524735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1992123939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052049",
"telephone_number": "503-526-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052049",
"telephone_number": "503-526-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "PATTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-06",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.