Active NPI
Authentic Massage Therapy LLC
- Massage Therapist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21414
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Svetlana Y. Hoppe, MMP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Massage Therapist
- Beaverton, OR
- NPI 1285186056
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.