Body Listener LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BODY LISTENER LLC

Practice address

460 2ND St
Lake Oswego, OR 97034-3257

Phone

(503) 568-1136

Fax

(503) 213-9729

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Grant M Headley, DPTNPI 1942635131

Title

Owner

Phone

(503) 568-1136

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant M Headley, P.T., D.P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1942635131
  NPD Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1477147155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340110",
            "telephone_number": "503-568-1136",
            "fax_number": "503-213-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 2ND ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343257",
            "telephone_number": "503-568-1136",
            "fax_number": "503-213-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LISTENER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-568-1136",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "bodylistener.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "patient soap notes software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "460 2nd St",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970343257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew E Bliesner, PSY.D.
• Jessica Lynn Blodgett
• Leah Bloomberg, DNP, RN, PMHNP-BC
• Kendra Laury Blosser, PA-C
• James S Bluhm, MD
• Aaron Bohn, PHARMD
• Abigail Bohn
• Teal Bohrer, PHD, LPC, CADC III
• Melissa Lynn Bollman, R.D.
• Olesea Bonanno, ARNP

• Physical Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.