Valerie Rose Henderson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26539 Issued in OR

Practice address

224 SE Miller Ave
Bend, OR 97702-1304

Phone

(541) 306-0988

NPI assigned

Mar 19, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bruann Harmony, LLC

  dba Action Dynamix Massage

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1386437135
  NPD (past)
• Halcyon Bodyworks

  • Massage Therapist
  • Bend, OR
  • NPI 1013368638
  NPD (past)

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1346999224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 NE BARON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016610",
            "telephone_number": "704-488-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SE MILLER AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021304",
            "telephone_number": "541-306-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VALERIE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Macbook",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Smartphone",
            "address_1": "224 SE Miller Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977021304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russell Loyd Henderson, FNP-BC
• Sidney E Henderson III, M.D.
• Stephanie Henderson
• Sylvia Dianne Henderson, LPC
• Tracy Renee Henderson
• Abby P. Hendricks, M.D.
• Andrea Jeanne Hendrickson
• Keith Jacob Hendrix, LPC
• Annie N. Hendryx, MD
• Randi Hennigan, PHD, LMFT

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.