Bridget Fragale LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10623 Issued in OR

Legal business name

BRIDGET FRAGALE LMT

Practice address

819 SE Morrison St
Portland, OR 97214-6307

Phone

(503) 890-5683

NPI assigned

Dec 30, 2013

Organization subpart

No

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

Authorized official

Name

Bridget Theresa Fragale, LMT

Title

Massage Therapist

Phone

(503) 890-5683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1508287152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NE 81ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136630",
            "telephone_number": "503-890-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146307",
            "telephone_number": "503-890-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET FRAGALE LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "FRAGALE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-890-5683",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 27, 2016; 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.