NPIMap

Organization Active NPI

Massage Envy

  • Massage Therapist
  • Keizer, OR
National Provider Identifier
1205969391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12558 Issued in OR
Legal business name
MASSAGE ENVY
Practice address
6395 Keizer Station Blvd #103
Keizer, OR 97303-0000
Phone
(503) 589-1597
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Rene Lawrence, LMT
Title
Licensed Massage Therapy
Phone
(503) 589-1597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12558 OR Primary

Addresses

Primary practice location

6395 Keizer Station Blvd #103
Keizer, OR 97303-0000

Mailing address

6675 Hidden Creek Loop NE
Keizer, OR 97303-7882
Phone (503) 409-1851

National Provider Directory

National Provider Directory
Tax ID family
Massage Envy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6395 Keizer Station Blvd NE
Ste 103
Keizer, OR 97303
Phone (503) 589-1597

Practitioners & affiliated clinicians

Practitioners 7

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205969391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HIDDEN CREEK LOOP NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037882",
            "telephone_number": "503-409-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 KEIZER STATION BLVD #103",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973030000",
            "telephone_number": "503-589-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE ENVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPY",
        "authorized_official_telephone_number": "503-589-1597",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • 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.