Tabitha Jo Dooms, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24096 Issued in OR

Practice address

1288 SW Simpson Ave Ste F
Bend, OR 97702-3196

Phone

(541) 312-2004

NPI assigned

Nov 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Living Well Therapy, P.C.

  • Physical Therapist
  • Bend, OR
  • NPI 1114136017

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1285104646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 NE RAMBLING LN APT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016683",
            "telephone_number": "541-848-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 SW SIMPSON AVE STE F",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023196",
            "telephone_number": "541-312-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 NE Twin Knolls Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977015042",
            "country_code": "US",
            "telephone_number": "541-848-9938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOMS",
        "first_name": "TABITHA",
        "middle_name": "JO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Lee Donnelly
• Patrick Keyes Donnelly, PEER SPECIALIST
• Colleen Ann Donoghue, DPT, PT
• Erin Donovan, DO
• Fred Doolin III, MA, LPC, CADC I
• Emily Dorn, MA, LPC-A, NCC
• Bradford Charles Dorsay, M.D.
• Gayle L Dosher, LMFT
• Michael R Doster, LCSW
• Nancy G. Doster, LCSW

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.