Organization Active NPI

Mind Body Rolfing

  • Specialist
  • Eugene, OR
National Provider Identifier
1124485792
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21629 Issued in OR
Legal business name
MIND BODY ROLFING
Practice address
1639 Oak St
Suite D
Eugene, OR 97401-4088
Phone
(541) 246-4912
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Ms. Jessica Marie Terrill, LMT
Title
Certified Rolfer
Phone
(541) 246-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 21629 OR Primary

Addresses

Primary practice location

1639 Oak St
Suite D
Eugene, OR 97401-4088

Mailing address

PO Box 1603
Eugene, OR 97440-1603

National Provider Directory

National Provider Directory

Locations

1639 Oak St
Ste D
Eugene, OR 97401
Phone (541) 246-4912

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1124485792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1603",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 OAK ST",
            "address_2": "SUITE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014088",
            "telephone_number": "541-246-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY ROLFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED ROLFER",
        "authorized_official_telephone_number": "541-246-4912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "21629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.