Active NPI
Spencer Smith
- Massage Therapist
- Bend, OR
National Provider Identifier
1467332676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 55 NW Wall St Ste 100
Bend, OR 97703-3200 - Phone
- (541) 389-4321
- NPI assigned
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
55 NW Wall St Ste 100
Bend, OR 97703-3200
Mailing address
20233 Glen Vista Rd
Bend, OR 97703-8107
Phone (503) 269-5287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falling Waters LLC | Current | Accepting new patients | |
| Heal Grow Thrive Medicine LLC | Past | Accepting new patients |
Locations
55 NW Wall St
Ste 100
Bend, OR 97703
Phone (541) 389-4321
Organizations & group practices 2
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.
-
- Chiropractor
- Bend, OR
- NPI 1154449890
-
- Acupuncturist
- Bend, OR
- NPI 1598106692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1467332676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20233 GLEN VISTA RD",
"city": "BEND",
"state": "OR",
"postal_code": "977038107",
"telephone_number": "503-269-5287",
"fax_number": "541-389-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NW WALL ST STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977033200",
"telephone_number": "541-389-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.