Mbody Health, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MBODY HEALTH, LLC

Practice address

1940 NW 24TH Ave
Portland, OR 97210-2786

Phone

(503) 459-8498

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Gilpin, DPTNPI 1265717201

Title

Owner

Phone

(503) 866-5232

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Elaine Gilpin, DPT

  • Physical Therapist
  • Portland, OR
  • NPI 1265717201
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew R Dunn, DPT

  • Physical Therapist
  • Beaverton, OR
  • NPI 1922340736
  Medicare reassignment Care Compare group NPD
• Mariah Frank

  • Physical Therapist
  • Portland, OR
  • NPI 1487213385
  Medicare reassignment Care Compare group NPD
• Kelley Ann Lindstrom, DPT

  • Orthopedic Physical Therapist
  • Beaverton, OR
  • NPI 1548692296
  Medicare reassignment Care Compare group NPD
• Maddie Henderson Robertson

  • Physical Therapist
  • Portland, OR
  • NPI 1811688294
  Medicare reassignment Care Compare group NPD
• Kelsey J Peck, PT

  • Physical Therapist
  • Battle Ground, WA
  • NPI 1003482787

  OR

  Medicare reassignment Care Compare group NPD
• Samantha Andrews

  • Massage Therapist
  • Portland, OR
  • NPI 1104475805
  NPD (past)
• Vanessa Wesley, LAC

  • Acupuncturist
  • Beaverton, OR
  • NPI 1467214429
  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1043098965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NE LAURELHURST PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 NW 24TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102786",
            "telephone_number": "503-459-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBODY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "GILPIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-866-5232",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mazzotta, M.D.
• Arielle Mazzuca
• Scott Joseph Mazzulo
• Osinakachukwu Mbata, MD
• Ruth Nyambura Mbatia
• Susan Mbugua, PMHNP-BC
• Deborah Ann MC Bride, O.D.
• Keira Marie MC Menamin, MS, OTR/L
• Rebekah MC Quade, RN
• Brittany McAdams

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.