NPIMap

Organization Active NPI

Time for Me Professional Massage Therapy LLC

  • Massage Therapist
  • Newberg, OR
National Provider Identifier
1396029914
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11652 Issued in OR
Legal business name
TIME FOR ME PROFESSIONAL MASSAGE THERAPY LLC
Practice address
21974 NE Highway 240
Newberg, OR 97132-6859
Phone
(503) 550-5083
Fax
(503) 538-3797
NPI assigned
Sep 30, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Brandin Thibodeaux, LMTNPI 1871511576
Title
Owner/Operator
Phone
(503) 550-5083

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 Therapist 225700000X 11652 OR Primary

Addresses

Primary practice location

21974 NE Highway 240
Newberg, OR 97132-6859

Mailing address

PO Box 222
Newberg, OR 97132-0222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1396029914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971320222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21974 NE HIGHWAY 240",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326859",
            "telephone_number": "503-550-5083",
            "fax_number": "503-538-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME FOR ME PROFESSIONAL MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "BRANDIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-550-5083",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.