NPIMap

Organization Active NPI

Body Sage Massage Therapies, LLC

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1275810863
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11230 Issued in OR
Legal business name
BODY SAGE MASSAGE THERAPIES, LLC
Practice address
3800 SW Cedar Hills Blvd
Suite 140
Beaverton, OR 97005-2027
Phone
(503) 644-1418
Fax
(503) 644-1422
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mrs. Lisa Fargo, LMT
Title
Owner
Phone
(503) 644-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 11230 OR Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd
Suite 140
Beaverton, OR 97005-2027

Mailing address

3800 SW Cedar Hills Blvd
Suite 140
Beaverton, OR 97005-2027
Phone (503) 644-1418

National Provider Directory

National Provider Directory

Locations

3800 SW Cedar Hills Blvd
Ste 140
Beaverton, OR 97005
Phone (503) 644-1418

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1275810863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027",
            "telephone_number": "503-644-1418",
            "fax_number": "503-644-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027",
            "telephone_number": "503-644-1418",
            "fax_number": "503-644-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SAGE MASSAGE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "FARGO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-1418",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.