Organization Active NPI

Reroot Massage Therapy and Energy Work, LLC

Doing business as ReRoot Massage Therapy

  • Massage Therapist
  • Creswell, OR
National Provider Identifier
1114800240
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
REROOT MASSAGE THERAPY AND ENERGY WORK, LLC
Doing business as
ReRoot Massage Therapy
Practice address
24 W Oregon Ave
Creswell, OR 97426-9259
Phone
(541) 357-8333
Fax
(541) 895-3359
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Ms. Roopkiran Kaur, LMT, RDNPI 1912797614
Title
Owner/Manager, LMT
Phone
(541) 357-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

24 W Oregon Ave
Creswell, OR 97426-9259

Mailing address

527 Pebble Beach Dr
Creswell, OR 97426-9882
Phone (916) 835-2232

Other names 1

  • ReRoot Massage Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1114800240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 PEBBLE BEACH DR",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269882",
            "telephone_number": "916-835-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W OREGON AVE",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269259",
            "telephone_number": "541-357-8333",
            "fax_number": "541-895-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REROOT MASSAGE THERAPY AND ENERGY WORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "ROOPKIRAN",
        "authorized_official_title_or_position": "OWNER/MANAGER, LMT",
        "authorized_official_telephone_number": "541-357-8333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, RD"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReRoot Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creswell, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.