Bridgeroot LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BRIDGEROOT LLC

Doing business as

Ipothecary

Practice address

11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584

Phone

(800) 965-6024

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Takiesha Indigo Melendez, LMTNPI 1811618523

Title

Medical Massage Therapist

Phone

(800) 965-6024

Specialties & licenses 1

Addresses

Other names 1

• Ipothecary Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Takiesha Indigo Melendez, LMT

  • Massage Therapist
  • Los Angeles, CA
  • NPI 1811618523
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1184346884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 SEPULVEDA BLVD # 1024",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112503",
            "telephone_number": "646-833-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641584",
            "telephone_number": "800-965-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEROOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "TAKIESHA",
        "authorized_official_middle_name": "INDIGO",
        "authorized_official_title_or_position": "MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "800-965-6024",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ipothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridge Speech Therapy Services Inc.
• Sarah Bridge, MD
• Bridgecrest Behavioral Health, LLC
• Annissa Marie Bridgeforth, RN
• Bridgeline Global LLC
• Bridges to Recovery III
• Bridges to Recovery Iiii
• Angela Bridges
• Chris E. Bridges, LCSW
• Connor Justin Bridges

• Massage Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.