IndividualActive
Deziare Pebenito, LMT
NPI 1124985718 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1124985718
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 28560 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5015 Se Hawthorne Blvd Unit B
Portland, OR 97215-3284
Phone: (440) 863-4339
Street-level locationGet directions
Mailing address
5015 Se Hawthorne Blvd Unit B
Portland, OR 97215-3284
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.