Fenicks Renasci, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27088 Issued in OR

Practice address

4475 SW Scholls Ferry Rd Ste 201
Portland, OR 97225-1978

Phone

(541) 525-8115

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epicenter Therapeutic Bodywork and Massage LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1720773328
  NPD Authorized official
• Body in Context

  • Massage Therapist
  • Talent, OR
  • NPI 1356826960
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1356078596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251978",
            "telephone_number": "541-525-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251978",
            "telephone_number": "541-525-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENASCI",
        "first_name": "FENICKS",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Michelle Rempel, CRM
• Christine Ren, MD
• Derun Ren, LMT
• Renaissance Childbirth and Postpartum Professionals LLC
• Renaissance Psychiatry LLC
• Francoise J Renaud, LPC, CADCIII
• Richard Ikaika Renaud III
• Render Creative Space LLC
• Jed Rendleman, LMFT
• Neal James Rendleman, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.