Rochelle Marie Rebecca Bradley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023065 Issued in OR

Practice address

3800 SW Cedar Hills Blvd Ste 229
Beaverton, OR 97005

Phone

(503) 789-9144

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By 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

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.

• Allied Chiropractic, PC

  • Chiropractor
  • Hillsboro, OR
  • NPI 1295865210
  NPD (past)
• Beaverton Bodyworks Rehab & Rejuvenation

  • Specialist
  • Beaverton, OR
  • NPI 1902261928
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1184119760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NW 336TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243631",
            "telephone_number": "503-317-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 229",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-789-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ROCHELLE",
        "middle_name": "MARIE REBECCA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maureen Boyer, M.S. CCC-SLP
• Kelly Lynn Boylan
• Matthew Boylan
• Braden Partners LP (Pacific Pulmonary Services)
• Lisa Bradfield
• Scott C Brancato, MD
• Amber Brandmeyer
• Jordan Brandon
• Karl Brandsen
• Krista V Brandt, EFDA

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.