Organization Active NPI

Authentic Massage Therapy LLC

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1295287068
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21414 Issued in OR
Legal business name
AUTHENTIC MASSAGE THERAPY LLC
Practice address
14631 SW Millikan Way Ste 14
Beaverton, OR 97003-2999
Phone
(312) 532-3070
Fax
(971) 228-2151
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mrs. Svetlana Y. Hoppe, MMPNPI 1285186056
Title
Owner
Phone
(312) 532-3070

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 Therapist 225700000X 21414 OR Primary

Addresses

Primary practice location

14631 SW Millikan Way Ste 14
Beaverton, OR 97003-2999

Mailing address

14631 SW Millikan Way Ste 14
Beaverton, OR 97003-2999
Phone (312) 532-3070

National Provider Directory

National Provider Directory

Locations

14631 SW Millikan Way
Ste 14
Beaverton, OR 97003
Phone (312) 532-3070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1295287068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 14",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "312-532-3070",
            "fax_number": "971-228-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 14",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "312-532-3070",
            "fax_number": "971-228-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-532-3070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21414",
            "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 Oct 27, 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.