Therapeutic Integrative Massage & Exercise, LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

7084 Issued in OR

Legal business name

THERAPEUTIC INTEGRATIVE MASSAGE & EXERCISE, LLC

Practice address

9860 SW Hall Blvd Ste a
Tigard, OR 97223-8896

Phone

(503) 709-1568

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Teresa Joanne Allen, LMTNPI 1770782617

Title

Organizer

Phone

(503) 709-1568

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Teresa J Allen, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1770782617
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184838518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SW 64TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972258168",
            "telephone_number": "503-709-1568",
            "fax_number": "503-709-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 SW HALL BLVD STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238896",
            "telephone_number": "503-709-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTEGRATIVE MASSAGE & EXERCISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "503-709-1568",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "OR",
            "license": "7084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "7084",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Lactation Network, LLC
• The Neuro Wellness Collective
• The Psychotherapy Associates of Oregon
• The Way of Health
• Therapeutic Associates Inc (TAI - Physical Therapy Tigard)
• Theresa a McAdoo, OD, PC
• Anya Thetford, LCSW
• Shawna Thieme, BS
• Christopher Lee Thoen, PMHNP
• Thomas Freedland, DC

• Other Technician in Tigard, OR
• Providers in Tigard, OR by specialty
• Other Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.