LORITA ELAINE JOHNSON (NPI# 1629219613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629219613 |
| Entity Type | Individual |
| Full Name | LORITA ELAINE JOHNSON |
| Credential | LMT |
| Practice Address |
24850 Se Stark St Ste 200 Gresham OR 97030-8320 |
| Mailing Address |
Po Box 1615 Sandy OR 97055-1615 |
| Practice Telephone | 9712852905 |
| Mailing Telephone | 9712852905 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 6181 | OR | Other Service Providers |
| Street Address |
24850 SE STARK ST STE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285159251 | Wild Earth Wellness | Clinic/Center | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2017-08-10 |
| 1326499666 | Julie Shiprack | Advanced Practice Midwife | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2016-06-28 |
| 1558777342 | Britta Ameel | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2014-07-01 |
| 1982041703 | Kirsten Gwynn | Advanced Practice Midwife | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2013-06-03 |
| 1770809303 | Audra Rachelle Norris-jacob | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2010-04-07 |
| 1992039309 | Monica Elizabeth Venn | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1336786953 | Okaeri Massage Therapy LLC | Mechanotherapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-12-02 |
| 1356637094 | Bridgette Marie Wilkison | Mechanotherapist | 101 Ne Roberts Ave, Gresham, OR 97030-7551 | 2011-06-21 |
| 1568631232 | Afton Kendell | Mechanotherapist | 101 Ne Roberts Ave, Gresham, OR 97030-7551 | 2008-02-26 |
| 1053526137 | David Jonathan Emerson | Mechanotherapist | 329 Ne Hood Ave, Gresham, OR 97030-7449 | 2007-05-11 |
| 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.