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Brigid Diana Timmons

Massage Therapist β€’ Gresham, OR

Active NPI 1093251555 Individual Practitioner Female Practitioner
Practice location in NPPES

21707 Se Stark St
Gresham, OR 970302029

Call 5034899962 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

21707 Se Stark St

Gresham, OR 970302029

Telephone 5034899962
Organization at the Same NPPES Address or Phone
Alta Ulrich, Lmt Llc Facility NPI 1174388250

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

127 active clinicians are listed under Massage Therapist with a practice address in Gresham, OR (6,086 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 127 clinicians have the CMS telehealth indicator.

0% of these 127 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2026-06-11
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES DE MT-0004103

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

8 Historical Events
πŸ“
Updated Practice Location June 11, 2026

Registered at 21707 SE STARK ST, GRESHAM, OR 970302029 (Tel: 5034899962)

πŸ‘€
Provider Name / Credentials Updated June 11, 2026

Recorded as BRIGID TIMMONS

βœ…
NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 09, 2017

Registered at 1000 MIDWAY DR, SUITE 11A, HARRINGTON, DE 199522448 (Tel: 3026827975)

πŸ“
Business Mailing Address (Initial Record) January 09, 2017

Registered at 1155 YEARSLEY DR, DOVER, DE 199044358 (Tel: 3023993349)

πŸ‘€
Provider Name / Credentials (Initial Record) January 09, 2017

Recorded as KIMBERLY TIMMONS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Massage Therapist (license number reported to NPPES: DE MT-0004103)

🟒
Initial NPI Registration & Enumeration January 09, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093251555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2017
Last Update: June 11, 2026
Sole Proprietor: Yes

Mailing Address

1155 Yearsley Dr

Dover, DE 199044358

Phone: 3026127725

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.