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Active NPI 1366830531 Individual Practitioner Male Practitioner

Daniel Leake , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Daniel Leake, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 1217 NE BURNSIDE RD STE 701D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1217 Ne Burnside Rd Ste 701d

Gresham, OR 970305770

Telephone 5033484797
Fax 5036673403

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

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

Practicing in Gresham, 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 20278

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

1 Associated Practitioners
Jessica Wallace , LMT

Massage Therapist

NPI 1851807366

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 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2014

Registered at 1217 NE BURNSIDE RD STE 701D, GRESHAM, OR 970305770 (Tel: 5033484797)

📍
Updated Business Mailing Address December 22, 2014

Registered at 1525 SE 139TH AVE, PORTLAND, OR 972332306 (Tel: 9719980966)

👤
Provider Name / Credentials Updated December 22, 2014

Recorded as DANIEL LEAKE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2014

Massage Therapist (License #20278 in OR)

🟢
Initial NPI Registration & Enumeration December 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366830531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2014
Last Update: December 22, 2014
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1525 Se 139th Ave

Portland, OR 972332306

Phone: 9719980966

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.