Organization Active NPI

Back to Balance LLC

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1124431564
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20197 Issued in OR
Legal business name
BACK TO BALANCE LLC
Practice address
451 S 1St Ave Ste 300
Hillsboro, OR 97123-3972
Phone
(503) 998-9151
Fax
(503) 305-3916
NPI assigned
Jun 3, 2014
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Janelle HarrelNPI 1114766789
Title
Owner
Phone
(503) 998-9151

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 Therapist 225700000X 20197 OR Primary

Addresses

Primary practice location

451 S 1St Ave Ste 300
Hillsboro, OR 97123-3972

Mailing address

451 S 1St Ave Ste 300
Hillsboro, OR 97123-3972
Phone (503) 998-9151

Other identifiers 2

IdentifierTypeStateIssuer
1124431564MedicaidOR
20197OtherORMASSAGE LICENSE

Other names 1

  • Janelle Lowery LMT Former legal business name

National Provider Directory

National Provider Directory

Locations

451 S 1st Ave
Ste 300
Hillsboro, OR 97123
Phone (503) 998-9151

4855 SE Tualatin Valley Hwy
Ste B
Hillsboro, OR 97129

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1124431564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S 1ST AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233972",
            "telephone_number": "503-998-9151",
            "fax_number": "503-305-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S 1ST AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233972",
            "telephone_number": "503-998-9151",
            "fax_number": "503-305-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-998-9151"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124431564",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "20197",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janelle Lowery LMT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.