AT EASE MASSAGE THERAPY, LLC (NPI# 1538445135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538445135 |
| Entity Type | Organization |
| Organization Name | AT EASE MASSAGE THERAPY, LLC |
| Practice Address |
15495 Sw Sequoia Pkwy Suite 150 Tigard OR 97224-6100 |
| Mailing Address |
15495 Sw Sequoia Pkwy. Suite 150 Tigard OR 97224-6117 |
| Practice Telephone | 5039570338 |
| Mailing Telephone | 5039570338 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | MR. BRIAN DARYL BUCKNER (CEO) |
| Authorized Official Telephone | 5039570338 |
| Authorized Official Credential | L.M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 10755 | OR | Other Service Providers |
| Street Address |
15495 SW SEQUOIA PKWY SUITE 150 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811252851 | Alissa Johnson | Massage Therapist | 15495 Sw Sequoia Pkwy, Tigard, OR 97224-6100 | 2012-07-05 |
| 1932403730 | Tony Allen Rhodes | Chiropractor | 15495 Sw Sequoia Pkwy, #150, Tigard, OR 97224-6100 | 2011-01-07 |
| 1235319690 | Brian Daryl Buckner | Massage Therapist | 15495 Sw Sequoia Pkwy, Ste. #150, Tigard, OR 97224-6100 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| 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 |
|---|---|---|---|---|
| 1356682751 | Cam Nguyet Chau | Mechanotherapist | 13973 Sw Northview Dr, Tigard, OR 97223-2695 | 2013-03-09 |
| 1922244680 | Melvin Curtis Ober | Mechanotherapist | 6956 Sw Hampton St, Tigard, OR 97223-8351 | 2008-12-31 |
| 1396021192 | Katharine Jones | Mechanotherapist | 9735 Sw Shady Ln, Ste. 306, Tigard, OR 97223-5481 | 2011-10-25 |
| 1649456203 | Blanka Nyvlt | Mechanotherapist | 7357 Sw Beveland Rd, Suite 200, Tigard, OR 97223-8844 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734340 | Lola Reed | Mechanotherapist | 8283 Sw Cirrus Dr, Beaverton, OR 97008-5997 | 2018-06-21 |
| 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 |
| 1356886808 | Mary Wheeler, Lmt | Mechanotherapist | 67 N Polk St, Eugene, OR 97402-4108 | 2016-12-19 |
| 1619321700 | Talor Lee-stiles | Mechanotherapist | 134 Ne 75th Ave, Portland, OR 97213-6315 | 2016-04-14 |
| 1891158416 | Jesse Hodgdon | Mechanotherapist | 1413 Holton Rd, Talent, OR 97540-7762 | 2016-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.