Micro Wellness Group, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

FA00080 Issued in OR

Legal business name

MICRO WELLNESS GROUP, INC

Doing business as

Yoga OMazing

Practice address

1849 NW 188TH Ave Ste 200
Hillsboro, OR 97006-6485

Phone

(503) 430-1759

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Michael Roteik

Title

President

Phone

(503) 430-1759

Specialties & licenses 1

Addresses

Other names 1

• Yoga OMazing Doing business as

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1033667126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 NW 188TH AVE STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-430-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 NW 188TH AVE STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-430-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRO WELLNESS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "ROTEIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-430-1759"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "FA00080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yoga OMazing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.