NPIMap

Organization Active NPI

Classic Body Work LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1386023489
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21188 Issued in OR
Legal business name
CLASSIC BODY WORK LLC
Practice address
107 SE Washington St Ste 134
Portland, OR 97214-2151
Phone
(503) 239-2639
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Stephanie MasseyNPI 1821273418
Title
Clinic Director
Phone
(503) 239-2639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 21188 OR Primary

Addresses

Primary practice location

107 SE Washington St Ste 134
Portland, OR 97214-2151

Mailing address

107 SE Washington St Ste 134
Portland, OR 97214-2151

National Provider Directory

National Provider Directory
Tax ID family
Classic Body Restoration LLC2 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.

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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1386023489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST STE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST STE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142151",
            "telephone_number": "503-239-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC BODY WORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-239-2639"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21188",
            "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 May 21, 2015; 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.