Deep Ground Massage & Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18138 Issued in OR

Legal business name

DEEP GROUND MASSAGE & BODYWORK

Practice address

1725 SE Hawthorne Blvd
Portland, OR 97214-3722

Phone

(503) 926-4045

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Lavon Trotter, LMTNPI 1598077836

Title

Owner

Phone

(503) 926-4045

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.

• Stephanie Lavon Trotter, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1598077836
  NPD (past) Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1033663620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 SE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064339",
            "telephone_number": "503-926-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143722",
            "telephone_number": "503-926-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP GROUND MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-926-4045",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Deegan
• Michael Deegan, PT
• Serina Rayhan Deen, MD, MPH
• Aishwarya Bhat Deenadayalu, MD
• Viju Philip Deenadayalu, MD
• Deep Insight Group PLLC
• Deep Insight PLLC
• Deepti Gupta-Johnson, DMD LLC (Daydream Dental)
• Ramla Deeq, PMHNP-BC
• Danielle May Deer, MA, CADC2

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.