Foot Bar Body Bar

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7949 Issued in OR

Legal business name

FOOT BAR BODY BAR

Practice address

908 NW 14TH Ave
Portland, OR 97209-2704

Phone

(503) 575-4891

NPI assigned

Dec 29, 2010

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Pittman, LMTNPI 1629372933

Title

Owner

Phone

(503) 575-4891

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Heather Pittman, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1629372933
  NPD (past) Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1396049615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SE FRANKLIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NW 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092704",
            "telephone_number": "503-575-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT BAR BODY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-575-4891",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Fontanez
• Serena M Fonte
• Donald Wayne Fontenot, RN
• Lindsay Marie Fontenot, N.D., L.AC
• Maxine May Fookson, PNP
• Lorraine Nicole Foote
• Tamara Foote
• Stelle Darelle Fopa-Yemeli, NP-C
• For the Health of It Nutrition LLC
• Fora Health Inc. (Fora Health Treatment and Recovery)

• 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 Sep 15, 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.