Grape Street Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GRAPE STREET MASSAGE LLC

Practice address

312 S Grape St
Medford, OR 97501-3147

Phone

(541) 261-8628

Fax

(938) 888-7262

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By 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

Samantha K Shorkey

Title

Owner, Licensed Massage Therapist

Phone

(541) 261-8628

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Samantha Holtey

  • Massage Therapist
  • Ashland, OR
  • NPI 1679028674
  NPD
• Crystal Shaw

  • Massage Therapist
  • Medford, OR
  • NPI 1669185047
  NPD
• Melissa Wolf

  • Massage Therapist
  • Medford, OR
  • NPI 1609513209
  NPD
• Julia McCoy, LMT#25007

  • Massage Therapist
  • Medford, OR
  • NPI 1013508837
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1477148740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 COLUMBINE WAY",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975024802",
            "telephone_number": "541-261-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S GRAPE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013147",
            "telephone_number": "541-261-8628",
            "fax_number": "938-888-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPE STREET MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "SHORKEY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-261-8628"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Stuart Grange, M.D.
• Austin Marc Burns Grant, MD
• Collin Grant, M.D.
• David Michael Grant, MD
• Peter Alan Grant, MD
• Julia Marie Graves, PA
• Arielle R. Gray, MD
• Kyle Gray
• Peter J Gray, PA-C
• James Grebosky, MD

• Massage Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.