Jennifer Bode, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7255 Issued in OR

Practice address

19685 Pilot Knob Rd Ste 260
Farmington, MN 55024-7238

Phone

(651) 478-6988

NPI assigned

Jan 2, 2014

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Imperial Family Chiropractic, PLLC

  • Chiropractor
  • Farmington, MN
  • NPI 1437699790
  NPD

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1093136400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RIVER ST UNIT 405",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222169",
            "telephone_number": "503-860-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19685 PILOT KNOB RD STE 260",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247238",
            "telephone_number": "651-478-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 NW 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091607",
            "country_code": "US",
            "telephone_number": "503-939-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 NW 20th Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091607",
            "country_code": "US",
            "telephone_number": "503-860-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODE",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Jo Bergerson
• Aimee Jeanette Bettich, PT, DPT
• Cory Blanchard, D.C.
• Melissa Caroline Blanchard, DC
• David Kwadwo Boateng, RN
• Aaron Brening, DC
• Kaitlin Capri
• Robert Carbonell, LADC
• Kelly Sue Chan, MA, OTR/L
• Cley James Charlson, DC

• Massage Therapist in Farmington, MN
• Providers in Farmington, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.