Active NPI
Jessabella Brown
- Massage Therapist
- Eugene, OR
National Provider Identifier
1346014578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-27282
- Practice address
- 2286 Oakmont Way
Eugene, OR 97401-5519 - Phone
- (541) 484-5777
- NPI assigned
- Nov 8, 2023
- Last updated
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-27282 | OR | Primary |
Addresses
Primary practice location
2286 Oakmont Way
Eugene, OR 97401-5519
Mailing address
87551 Cedar Flat Rd
Springfield, OR 97478-8628
Phone (504) 909-8881
Other practice location 1
87551 Cedar Flat Rd
Springfield, OR 97478-8628
Phone (504) 909-8881
Other names 1
- Jessica Bedortha
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-27282 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regen Or | Current | Accepting new patients | |
| Absolute Wellness, PC | Past | Accepting new patients |
Locations
2286 Oakmont Way
Eugene, OR 97401
Phone (541) 484-5777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1346014578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87551 CEDAR FLAT RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974788628",
"telephone_number": "504-909-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2286 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015519",
"telephone_number": "541-484-5777"
}
],
"practiceLocations": [
{
"address_1": "87551 Cedar Flat Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974788628",
"country_code": "US",
"telephone_number": "504-909-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JESSABELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "LMT-27282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BEDORTHA",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.