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NPISignal

Individual Healthcare Provider

Mariela Mendoza Gutierrez, LMT

NPI Record: ActiveMassage Therapist
NPI1770390577
Eagle Point, Oregon

Provider's NPPES record last updated: December 16, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1770390577
Primary Specialty
Massage Therapist
Practice Location
Eagle Point, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:00 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Massage Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    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.

    Taxonomy code 225700000X

Provider-Reported License Information

Massage Therapist (Oregon)
21563
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

155 Alta Vista Rd Ste B

Eagle Point, Oregon 97524-9735

Phone: (541) 879-3443

Record Information

Enumeration Date
December 16, 2024
Provider's NPPES Record Last Updated
December 16, 2024
Certification Date
December 15, 2024
NPISignal NPPES Dataset
August 2026

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