NPIMap

Organization Active NPI

Roots Massage & Bodywork LLC Suzanne Kaplan Col MBR

  • Massage Therapist
  • Moscow, ID
National Provider Identifier
1225767791
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ROOTS MASSAGE & BODYWORK LLC SUZANNE KAPLAN COL MBR
Practice address
116 E 3Rd St Ste 201
Moscow, ID 83843-4318
Phone
(208) 610-3591
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Suzanne Kaplan, LMT, PTA, BSNPI 1902270408
Title
Owner
Phone
(208) 610-3591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

116 E 3Rd St Ste 201
Moscow, ID 83843-4318

Mailing address

PO Box 1825
Lewiston, ID 83501-1463
Phone (208) 610-3591

National Provider Directory

National Provider Directory

Locations

116 E 3rd St
Ste 201
Moscow, ID 83843
Phone (208) 610-3591

Practitioners & affiliated clinicians

Practitioners 5

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1225767791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1825",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011463",
            "telephone_number": "208-610-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 3RD ST STE 201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434318",
            "telephone_number": "208-610-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MASSAGE & BODYWORK LLC SUZANNE KAPLAN COL MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-610-3591",
        "authorized_official_credential": "LMT, PTA, BS"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.