NPIMap

Organization Active NPI

Vhaskera LLC

Doing business as Revive Massage Therapy & Sports Wellness

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1124320015
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
VHASKERA LLC
Doing business as
Revive Massage Therapy & Sports Wellness
Practice address
16315 SW Barrows Rd Ste 203a
Beaverton, OR 97007-9461
Phone
(503) 746-6585
Fax
(503) 746-6583
NPI assigned
Nov 26, 2010
Last updated
Apr 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Bhaskar Bhatnagar
Title
Owner
Phone
(503) 381-1404

Specialties & licenses 1

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

Addresses

Primary practice location

16315 SW Barrows Rd Ste 203a
Beaverton, OR 97007-9461

Mailing address

5058 NW Crady LN
Portland, OR 97229-2395
Phone (503) 381-1404

Other names 1

  • Revive Massage Therapy & Sports Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

16315 SW Barrows Rd
Ste 203A
Beaverton, OR 97007
Phone (503) 706-6585

Practitioners & affiliated clinicians

Practitioners 4

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": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1124320015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 NW CRADY LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292395",
            "telephone_number": "503-381-1404",
            "fax_number": "503-746-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 SW BARROWS RD STE 203A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079461",
            "telephone_number": "503-746-6585",
            "fax_number": "503-746-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHASKERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-381-1404"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Massage Therapy & Sports Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.