NPIMap

Organization Active NPI

Optimal Performance Therapeutic Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1467701227
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
113 Issued in OR
Legal business name
OPTIMAL PERFORMANCE THERAPEUTIC MASSAGE
Practice address
1017 SW Morrison St
411
Portland, OR 97205-2635
Phone
(503) 381-3241
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Melissa Baldwin, LMTNPI 1821346883
Title
Owner
Phone
(503) 381-3241

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 113 OR Primary

Addresses

Primary practice location

1017 SW Morrison St
411
Portland, OR 97205-2635

Mailing address

634 NW Flanders St
239
Portland, OR 97209-3644
Phone (503) 381-3241

National Provider Directory

National Provider Directory

Locations

1017 SW Morrison St
Ste 411
Portland, OR 97205
Phone (503) 806-7763

Practitioners & affiliated clinicians

Practitioners 1

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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1467701227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 NW FLANDERS ST",
            "address_2": "239",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093644",
            "telephone_number": "503-381-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST",
            "address_2": "411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052635",
            "telephone_number": "503-381-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-381-3241",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "113",
            "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 Sep 7, 2012; 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.