Individual provider Active NPI

Elena Katherina Beitzel

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1073226312
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
266696 Issued in OR
Practice address
1010 NW Harriman St
Bend, OR 97703-1912
Phone
(971) 330-3187
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 266696 OR Primary

Addresses

Primary practice location

1010 NW Harriman St
Bend, OR 97703-1912

Mailing address

61506 Tall Tree CT
Bend, OR 97702-3296

Other practice location 1

333 NE 4th St
Bend, OR 97701-5162
Phone (541) 668-7506

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL massagebook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
266696ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Ward LLC Massage Therapist PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073226312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61506 TALL TREE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NW HARRIMAN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031912",
            "telephone_number": "971-330-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 NE 4th St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977015162",
            "country_code": "US",
            "telephone_number": "541-668-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEITZEL",
        "first_name": "ELENA",
        "middle_name": "KATHERINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "266696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "massagebook.com",
            "affiliation": "N",
            "address_1": "333 NE 4th St",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977015162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.