Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699631374 Individual Practitioner Female Practitioner

Ellyn Sue Vandenberg , LMT

Massage Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Ellyn Vandenberg, LMT is a registered healthcare professional specializing in Massage Therapist in Bend, OR. Practice services are available at 2955 N HWY 97 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2955 N Hwy 97

Bend, OR 977037559

Telephone 5417283004
Associated Practice Facility / Clinic
🏢 Kara Kelly, Llc Facility NPI 1952854481

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
363 Specialists

Practicing in Bend, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-26
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 5129

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Shonna Edwards

Counselor - Mental Health

NPI 1184462707
Summer Rousselle , LPC-A

Counselor - Professional

NPI 1225889488

LPCA

Janaye Monet , CSWA

Social Worker - Clinical

NPI 1255145421
Kelsey Davis

Counselor - Professional

NPI 1306697297
Danielle Couture , LPC

Counselor - Mental Health

NPI 1356911762

Licensed Professional Counselor

Amy Forconi-Beach , LPC

Counselor - Professional

NPI 1366922718

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 26, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2025

Registered at 2955 N HWY 97, BEND, OR 977037559 (Tel: 5417283004)

📍
Updated Business Mailing Address December 26, 2025

Registered at 63987 SUNSET DR, BEND, OR 977038590 (Tel: 5412805045)

👤
Provider Name / Credentials Updated December 26, 2025

Recorded as ELLYN VANDENBERG, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2025

Massage Therapist (License #5129 in OR)

🟢
Initial NPI Registration & Enumeration December 26, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699631374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2025
Last Update: December 26, 2025
Sole Proprietor: Yes

Mailing Address

63987 Sunset Dr

Bend, OR 977038590

Phone: 5412805045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.