IndividualActive
David Sullivan, LMT
NPI 1154856987 · Massage Therapist · Medford, OR
Provider details
- NPI number
- 1154856987
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 22561 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
100 N Grape St Apt 303
Medford, OR 97501-3151
Phone: (718) 825-7245
Street-level locationGet directions
Mailing address
2503 Saratoga St
Ashland, OR 97520-1892
Additional practice locations (1)
- 550 Siskiyou BlvdAshland, OR 97520-2138Phone: (541) 488-6757
Registry dates
- Enumerated
- 2017-04-30
- Last updated
- 2019-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.