Toes in the Water Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TOES IN THE WATER WELLNESS LLC

Doing business as

EmPOWERed Health Chiropractic

Practice address

11804 SE Sunnyside Rd
Clackamas, OR 97015-9308

Phone

(503) 454-0782

Fax

(866) 577-6285

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carole K Martin, DC

Title

Owner/Doctor

Phone

(503) 454-0782

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EmPOWERed Health Chiropractic Doing business as

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1023629896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11804 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159308",
            "telephone_number": "503-454-0782",
            "fax_number": "866-577-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11804 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159308",
            "telephone_number": "503-454-0782",
            "fax_number": "866-577-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOES IN THE WATER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "503-454-0782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EmPOWERed Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Karlan Timtim, MD
• Kathryn Rose Tinkler, R.PH., PHARM. D.
• To the Point Bodywork LLC
• Thomas Roderick Toal Jr., MD
• Stephanie Davies Hunt Toder, M.D.
• Theodore Anthony Tollivoro, M.D.
• Jessica Tommerup
• Vivian N. Ton, PHARMD
• Deepkamal Toor, M.D.
• Ellen Szu-Te Hsu Torres, CRNA

• Chiropractor in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.