JASON MAYBERRY (NPI# 1235462722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235462722 |
| Entity Type | Individual |
| Full Name | JASON MAYBERRY |
| Credential | LMT |
| Practice Address |
4445 Sw Barbur Blvd Suite 104 Portland OR 97239-4047 |
| Mailing Address |
14175 Sw Spinnaker Dr Beaverton OR 97005-3656 |
| Practice Telephone | 5032264500 |
| Practice Fax Number | 5032260796 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 11108 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255403861 | Jason Mayberry | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2006-11-15 |
| Street Address |
4445 SW BARBUR BLVD SUITE 104 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669636098 | John Paul Brotzman | Chiropractor | 4445 Sw Barbur Blvd, Suite 104, Portland, OR 97239-4047 | 2008-07-15 |
| 1184243974 | Brittany Danielle West | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2020-04-11 |
| 1134693187 | Tahlia Rachel Harrison | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2019-01-13 |
| 1538636626 | Esther Berg | Marriage & Family Therapist | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2018-10-27 |
| 1336654177 | Alexia Brooke Deleon | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-12-01 |
| 1548773963 | Maribel Guevara-myers | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-07 |
| 1699288274 | Janice M Muna | Student in an Organized Health Care Education/Training Program | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-11-06 |
| 1235649849 | Lianna Halle Tullis-robinson | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-10-09 |
| 1811424187 | Kimberly Dawn Adams | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2017-05-17 |
| 1396292652 | Jill Kelly | Counselor | 4445 Sw Barbur Blvd, Portland, OR 97239-4047 | 2016-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548794779 | Sara Greenhouse | Mechanotherapist | 1417 N Shaver St, Portland, OR 97227-1060 | 2017-04-14 |
| 1740714963 | Mariza Noyama-zee | Mechanotherapist | 6516 Se 92nd Ave, Portland, OR 97266-5236 | 2017-04-13 |
| 1104367143 | Janae Schiller | Mechanotherapist | 825 Se 32nd Ave, Portland, OR 97214-4201 | 2017-03-09 |
| 1336686237 | Mariana Orantes Blackstone | Mechanotherapist | 16011 Ne Halsey St, Portland, OR 97230-5629 | 2017-01-30 |
| 1619321700 | Talor Lee-stiles | Mechanotherapist | 134 Ne 75th Ave, Portland, OR 97213-6315 | 2016-04-14 |
| 1184085144 | Alissa Lamb | Mechanotherapist | 1476 Ne Sumner St, Portland, OR 97211-4434 | 2016-03-17 |
| 1629436498 | Margarita Maria Mccabe | Mechanotherapist | 5310 Se Schiller St, Apt. A, Portland, OR 97206-4873 | 2016-02-08 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1932599263 | Lauren Mcaninch | Mechanotherapist | 4424 Se Clay St, Portland, OR 97215-3151 | 2015-01-26 |
| 1659779957 | Gretchen Hogue | Mechanotherapist | 3339 Se Division St, Suite F - Akasa Thai Healing Arts, Portland, OR 97202-1492 | 2014-12-18 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.