Brent Babauta, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19062 Issued in OR

Practice address

15280 NW Central Dr Ste 102
Portland, OR 97229-7807

Phone

(503) 533-5614

NPI assigned

Mar 25, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massage and Spa at Bethany

  • Clinic/Center
  • Portland, OR
  • NPI 1649717141
  NPD (past)

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1053113894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20647 NW SEDONA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970062037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15280 NW CENTRAL DR STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297807",
            "telephone_number": "503-533-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAUTA",
        "first_name": "BRENT",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lynn Babaie
• Babak Govan PHD LLC (Integrative NW)
• Richard Babal, MANAGER
• Olubanke Babalola, FNP
• Feliciana Babasa
• Adetunji Olawale Babawale
• Denise Sterry Babawale
• Benjamin Albert Babb, M.D.
• Christopher J Babb, LMT
• Taylor Sara-Henae Babb

• 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 Mar 25, 2025; 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.