Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174486120 Individual Practitioner Male Practitioner

Nathan David Banta , LMT

Massage Therapist • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Nathan Banta, LMT is a registered healthcare professional specializing in Massage Therapist in Clackamas, OR. Practice services are available at 9895 SE SUNNYSIDE RD STE K under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9895 Se Sunnyside Rd Ste K

Clackamas, OR 970159745

Telephone 5036530400
Associated Practice Facility / Clinic
🏢 Nelson's Interior Facility NPI 1952608606

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Clackamas, OR

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

Practicing in Clackamas, 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: 2025-12-06
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 28831

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

4 Associated Practitioners
Victoria Griggs , LMT

Massage Therapist

NPI 1104125632

Licensed Massage Therapist

Kelsie Bach , LMT

Massage Therapist

NPI 1205135738

Licensed Massage Therapist

Jessica Tommerup

Massage Therapist

NPI 1285992370
Jade Nelson , LMT

Massage Therapist

NPI 1447549308

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2025

Registered at 9895 SE SUNNYSIDE RD STE K, CLACKAMAS, OR 970159745 (Tel: 5036530400)

📍
Updated Business Mailing Address December 06, 2025

Registered at 2195 NW 18TH AVE APT 652, PORTLAND, OR 972092478 (Tel: 5036606845)

👤
Provider Name / Credentials Updated December 06, 2025

Recorded as NATHAN BANTA, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2025

Massage Therapist (License #28831 in OR)

🟢
Initial NPI Registration & Enumeration December 06, 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: 1174486120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2025
Last Update: December 06, 2025
Sole Proprietor: No

Mailing Address

2195 Nw 18th Ave Apt 652

Portland, OR 972092478

Phone: 5036606845

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.