Advanced Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ADVANCED MASSAGE LLC

Practice address

7 Crater Lake Ave Ste G
Medford, OR 97504-7466

Phone

(541) 261-3384

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Goodwine, LMTNPI 1437509395

Title

Co-Owner/Massage Therapist

Phone

(541) 261-3384

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.

• Jennifer Goodwine, LMT

  • Massage Therapist
  • Medford, OR
  • NPI 1437509395
  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1043099484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 SKYPARK DR APT D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045759",
            "telephone_number": "541-261-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CRATER LAKE AVE STE G",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047466",
            "telephone_number": "541-261-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "GOODWINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-261-3384",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Life Services, LLC
• Advanced Health & Wellness
• Advanced Healthcare Concepts, Inc.
• Advanced Joint Replacement Center LLC
• Advanced Joint Replacement Center of Southern Oregon
• Advanced Nutrition LLC
• Advanced Physical Therapy and Orthopedic Rehabilitation PC
• Advanced Respiratory Diagnostic
• Advanced Sleep Disorders Center
• Anshu Aery, MD

• Massage Therapist in Medford, OR
• Providers in Medford, 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 25, 2023; 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.