MS. DESIREE FREDENBURG LMT
NPI 1114231891
Massage Therapist in Portland, OR
NPI Status: Active since August 04, 2010
Contact Information
2627 NE BROADWAY ST
PORTLAND, OR
ZIP 97232
Phone: (503) 281-0278
- Individual
- Female
- Massage Therapist
About DESIREE FREDENBURG
This page provides the complete NPI Profile along with additional information for Desiree Fredenburg, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1114231891 assigned on August 2010. The practitioner's primary taxonomy code is 225700000X with license number 16509 (OR). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1114231891
- Provider Name
- MS. DESIREE FREDENBURG LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2627 NE BROADWAY ST PORTLAND, OR 97232
- Location Phone
- (503) 281-0278
- Mailing Address
- 1515 SE 52ND AVE PORTLAND, OR 97215
- Mailing Phone
- (503) 914-8500
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2010
- Last Update Date
- 08-04-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 16509
- License State
- OR
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 3 | 1 | 8 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 3 | 2 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 3 + 2 + 8 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1114231891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255540845 | MRS. LISA RENEE MERTZ LMT Individual | Specialist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 473-9339 |
| 1689840456 | LYNN MARIE BUKOWSKI L.M.T. Individual | Community Health Worker | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 281-0278 |
| 1891962361 | MR. AMBERT JAMES DUNSMORE L.M.T. Individual | Massage Therapist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 281-0278 |
| 1225285232 | KATHERINE GILFOIL STAUFFER LMT Individual | Massage Therapist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 281-0278 |
| 1205113545 | RORY MOHON LMT Individual | Massage Therapist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 281-0278 |
| 1245582352 | NANCY FAILLA LMT Individual | Massage Therapist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 706-2225 |
| 1417293721 | MUDRA MASSAGE, LLC Organization | Massage Therapist | 2627 NE BROADWAY ST PORTLAND, OR 97232 (503) 706-2225 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114231891, enumerated in the NPI registry as an "individual" on August 04, 2010
The provider is located at 2627 Ne Broadway St Portland, Or 97232 and the phone number is (503) 281-0278
The provider's speciality is Massage Therapist with taxonomy code 225700000X
This NPI record was last updated on August 04, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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