Organization Active NPI

Jessica Blaylock Dba Fusion Bodyworks PDX

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1376296467
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
JESSICA BLAYLOCK DBA FUSION BODYWORKS PDX
Practice address
909 N Beech St Unit 209
Portland, OR 97227-1260
Phone
(503) 281-8989
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Jessica Blaylock, LMT
Title
Owner/Practitioner
Phone
(503) 281-8989

Specialties & licenses 1

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

Addresses

Primary practice location

909 N Beech St Unit 209
Portland, OR 97227-1260

Mailing address

909 N Beech St Unit 209
Portland, OR 97227-1260
Phone (503) 281-8989

National Provider Directory

National Provider Directory

Locations

909 N Beech St
Unit 209
Portland, OR 97227
Phone (503) 281-8989

Practitioners & affiliated clinicians

Practitioners 2

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1376296467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BEECH ST UNIT 209",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271260",
            "telephone_number": "503-281-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N BEECH ST UNIT 209",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271260",
            "telephone_number": "503-281-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BLAYLOCK DBA FUSION BODYWORKS PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "503-281-8989",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.