Active NPI
Pacific Wellness Group, LLC
- Massage Therapist
- Portland, OR
National Provider Identifier
1083005680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17985
- Legal business name
- PACIFIC WELLNESS GROUP, LLC
- Practice address
- 2161 NE Broadway St
Portland, OR 97232-1512 - Phone
- (971) 678-7956
- NPI assigned
- Feb 18, 2015
- Last updated
- Feb 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean Abplanalp, LMT
- Title
- Owner
- Phone
- (971) 678-7956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17985 | OR | Primary |
Addresses
Primary practice location
2161 NE Broadway St
Portland, OR 97232-1512
Mailing address
PO Box 14074
Portland, OR 97293-0074
Phone (971) 678-7956
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1083005680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14074",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972930074",
"telephone_number": "971-678-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321512",
"telephone_number": "971-678-7956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC WELLNESS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "ABPLANALP",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-678-7956",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Pacific Surgical PC
- Pacific Therapy LLC
- Pacific University
- Pacific University (Pacific Psychology & Comprehensive Health Clinic)
- Pacific Vascular Specialists PC
- Pacifica Calaroga Terrace LLC (Pacifica Senior Living Calaroga)
- Eric Louis Pacini, MD
- Lisa Pacioretty, LMT
- Lucia Paciotti, PT, DPT
- Deborah Kay Pack-Patton, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.