Action Dynamix Massage, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

10629 Issued in OR

Legal business name

ACTION DYNAMIX MASSAGE, LLC

Practice address

701 NW Arizona Ave Ste 200
Bend, OR 97703-3298

Phone

(541) 728-3911

NPI assigned

Oct 10, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amber Lee ClarkNPI 1154767564

Title

Owner

Phone

(541) 678-4212

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Lee Clark, LMT

  • Community Health Worker
  • Bend, OR
  • NPI 1154767564
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1023568466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW ARIZONA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW ARIZONA AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033298",
            "telephone_number": "541-728-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION DYNAMIX MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-678-4212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "10629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey V Absalon, MD
• Linda A Absalon, PT
• Accident Care Chiropractic and Massage of Bend (Accident Care Chiropractic)
• Mark Aceberos
• Diana R Ackerman, M.D.
• Active Life Therapeutic Massage
• Active Wellness Center LLC
• Acupuncture Cascadia
• Hugh R Adair III, D.O.
• Tessa Pearl Adair

• Preferred Provider Organization in Bend, OR
• Providers in Bend, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.