IndividualActive
Danielle Tkacik, LMT
NPI 1932840535 · Massage Therapist · Gresham, OR
Provider details
- NPI number
- 1932840535
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26808 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
1733 E Powell Blvd Ste 102
Gresham, OR 97030-8013
Phone: (503) 740-6343
Fax: (503) 974-3744
Street-level locationGet directions
Mailing address
1733 E Powell Blvd Ste 102
Gresham, OR 97030-8013
Additional practice locations (3)
- 335 S Broadway StEstacada, OR 97023Phone: (503) 740-6343Fax: (503) 974-3744
- 1722 Nw Raleigh St Ste 417Portland, OR 97209-1753Phone: (503) 740-6343Fax: (503) 974-3744
- 1110 Ne Wood Village Blvd Ste 23Wood Village, OR 97060-2668Phone: (503) 740-6343Fax: (503) 974-3744
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2024-05-14
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.