NPIMap

Organization Active NPI

Massage North West, Inc.

  • Massage Therapist
  • Keizer, OR
National Provider Identifier
1336280262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MASSAGE NORTH WEST, INC.
Practice address
6395 Keizer Station Blvd. NE
Ste. 103
Keizer, OR 97303-2302
Phone
(503) 589-1597
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Chenault
Title
Ceo
Phone
(503) 589-1597

Specialties & licenses 1

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

Addresses

Primary practice location

6395 Keizer Station Blvd. NE
Ste. 103
Keizer, OR 97303-2302

Mailing address

1775 32ND Place NE
Suite B
Salem, OR 97301-8774
Phone (503) 589-1597

Other names 1

  • Massage Envy of Keizer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Massage Envy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6395 Keizer Station Blvd NE
Ste 103
Keizer, OR 97303
Phone (503) 589-1597

1775 32nd Pl NE
Ste B
Salem, OR 97301

Practitioners & affiliated clinicians

Practitioners 7

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336280262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 32ND PLACE NE",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018774",
            "telephone_number": "503-589-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 KEIZER STATION BLVD. NE",
            "address_2": "STE. 103",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973032302",
            "telephone_number": "503-589-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE NORTH WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENAULT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-589-1597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massage Envy of Keizer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.