Individual provider Active NPI

Leah Bedoian, LMT

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1245703172
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT-26219 Issued in OR
Practice address
371 SW Upper Terrace Dr Ste 2
Bend, OR 97702-1560
Phone
(541) 678-0010
NPI assigned
Jan 3, 2019
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0021593 CO
Massage Therapist 225700000X LMT-26219 OR Primary

Addresses

Primary practice location

371 SW Upper Terrace Dr Ste 2
Bend, OR 97702-1560

Mailing address

2020 NE Linnea Dr Apt 258
Bend, OR 97701-4979
Phone (518) 335-6969

Other practice location 1

450 Center St
Craig, CO 81625-1126
Phone (970) 824-7744

Other practice location 2

1125 Linclon Avenue
Steamboat Springs, CO 80487
Phone (970) 736-7091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT.0021593COMDMassage Therapist
LMT-26219ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Mark Schill DC PC PastSince Mar 7, 2021 Accepting new patients
Natural Health Care Center LLC PastSince Oct 15, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1245703172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE LINNEA DR APT 258",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014979",
            "telephone_number": "518-335-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-678-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Center St",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816251126",
            "country_code": "US",
            "telephone_number": "970-824-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Linclon Avenue",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "80487",
            "country_code": "US",
            "telephone_number": "970-736-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDOIAN",
        "first_name": "LEAH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2021-03-01",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0021593",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-26219",
            "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 Mar 1, 2021; 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.