Active NPI
Elena Katherina Beitzel
- Massage Therapist
- Bend, OR
National Provider Identifier
1073226312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 266696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 266696 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Ward LLC | Massage Therapist | Past | 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.