Organization Active NPI

Westside Medical Massage LLC

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1245658665
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7495 Issued in OR
Legal business name
WESTSIDE MEDICAL MASSAGE LLC
Practice address
1345 NW Federal St
Bend, OR 97701-2336
Phone
(541) 977-1984
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Rachel F Craig, LMTNPI 1336563774
Title
Massage Therapist/Owner
Phone
(541) 977-1984

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 7495 OR Primary

Addresses

Primary practice location

1345 NW Federal St
Bend, OR 97701-2336

Mailing address

1345 NW Federal St
Bend, OR 97701-2336
Phone (541) 977-1984

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1245658665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NW FEDERAL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012336",
            "telephone_number": "541-977-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW FEDERAL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012336",
            "telephone_number": "541-977-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "541-977-1984",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.