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Moon Marcelle Bukas , LMT

Massage Therapist β€’ Bend, OR

Active NPI 1174139588 Individual Practitioner Male Practitioner
Practice location in NPPES

501 Ne Green Wood Ave, 300
Bend, OR 97701

Call 5417060961 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501 Ne Green Wood Ave
300

Bend, OR 97701

Telephone 5417060961

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bend and Oregon

371 active clinicians are listed under Massage Therapist with a practice address in Bend, OR (6,185 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

0% of these 371 clinicians have the CMS telehealth indicator.

0% of these 371 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-21
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES OR 023245

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 22, 2024

Registered at 501 NE GREEN WOOD AVE, 300, BEND, OR 97701 (Tel: 5417060961)

πŸ“
Updated Business Mailing Address February 22, 2024

Registered at 501 NE GREENWOOD AVE #300, BEND, OR 97701 (Tel: 5417060961)

πŸ‘€
Provider Name / Credentials Updated February 22, 2024

Recorded as MOON BUKAS, LMT

βœ…
NPI Profile Active September 21, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2020

Registered at 888 NW HILL ST, BEND, OR 977032766 (Tel: 5414200604)

πŸ“
Business Mailing Address (Initial Record) September 21, 2020

Registered at 2010 SW TIMBER AVE, REDMOND, OR 977566948 (Tel: 5417060961)

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2020

Recorded as MOON BUKAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Massage Therapist (license number reported to NPPES: OR 023245)

🟒
Initial NPI Registration & Enumeration September 21, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174139588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2020
Last Update: February 22, 2024
Sole Proprietor: Yes

Mailing Address

501 Ne Greenwood Ave #300

Bend, OR 97701

Phone: 5417060961

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.