Organization Active NPI

Bio Foot Reflexology and Massage Center

Doing business as Bio Foot Wellness Center

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1295270296
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BIO FOOT REFLEXOLOGY AND MASSAGE CENTER
Doing business as
Bio Foot Wellness Center
Practice address
2121 W Burnside St
Portland, OR 97210-3519
Phone
(503) 572-2250
NPI assigned
Dec 29, 2016
Organization subpart
Yes
Parent organization
BIO FOOT REFLEXOLOGY AND MASSAGE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Michael Alden Leard
Title
Financial Manager
Phone
(503) 572-2250

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 17234 OR

Addresses

Primary practice location

2121 W Burnside St
Portland, OR 97210-3519

Mailing address

2121 W Burnside St
Portland, OR 97210-3519
Phone (503) 572-2250

Other names 1

  • Bio Foot Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bio Foot Reflexology and Massage Center LLC3 organizations share this tax ID, including this one
Part of
Bio Foot Reflexology and Massage Center LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 W Burnside St
Portland, OR 97210
Phone (503) 432-8348

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1295270296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103519",
            "telephone_number": "503-572-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103519",
            "telephone_number": "503-572-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO FOOT REFLEXOLOGY AND MASSAGE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIO FOOT REFLEXOLOGY AND MASSAGE CENTER",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "LEARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "503-572-2250"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bio Foot Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.