NPIMap

Organization Active NPI

Six Elements Bodywork, LLC

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1215292230
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11624 Issued in OR
Legal business name
SIX ELEMENTS BODYWORK, LLC
Practice address
22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone
(503) 281-4866
Fax
(503) 907-0098
NPI assigned
Jul 5, 2012
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Sarah K. Carl, LMTNPI 1487846127
Title
Owner
Phone
(503) 281-4866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 11624 OR Primary

Addresses

Primary practice location

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656

Mailing address

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone (503) 281-4866

Other identifiers 1

IdentifierTypeStateIssuer
1487846127OtherORNPI TYPE 1

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1215292230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-281-4866",
            "fax_number": "503-907-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-281-4866",
            "fax_number": "503-907-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX ELEMENTS BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-281-4866",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1487846127",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.