Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881987782 Deactivated / Inactive NPI Female Practitioner

Carrie Kneisler , LMT

Specialist • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carrie Kneisler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 25, 2011
NPI Deactivation Date October 25, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Carrie Kneisler, LMT was a registered Specialist practicing in Gresham, OR. Throughout an active medical career spanning 12 years, Carrie Kneisler provided care at the practice location at 23440 SE STARK ST until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

23440 Se Stark St

Gresham, OR 970302961

Telephone 5034896245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
56 Specialists

Practicing in Gresham, OR (1153 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 12889

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023137585

Doctor of Chiropractic

Courtney Mceldowney , LMT

Massage Therapist

NPI 1558767012

Licensed Massage Therapist

Hannah Hall , LMT

Massage Therapist

NPI 1801434295

Licensed Massage Therapist

NPI 1841582228

Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active May 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 25, 2011

Registered at 23440 SE STARK ST, GRESHAM, OR 970302961 (Tel: 5034896245)

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Updated Business Mailing Address May 25, 2011

Registered at 2915 SW PLEASANT VIEW DR, GRESHAM, OR 970809491 (Tel: 5036181813)

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Provider Name / Credentials Updated May 25, 2011

Recorded as CARRIE KNEISLER, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2011

Specialist (License #12889 in OR)

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Initial NPI Registration & Enumeration May 25, 2011

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: 1881987782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2011
Last Update: May 25, 2011
Deactivation Date: October 25, 2023

Mailing Address

2915 Sw Pleasant View Dr

Gresham, OR 970809491

Phone: 5036181813

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.