Organization Active NPI

Renaissance Therapeutic Massage Inc.

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1609250075
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19124 Issued in OR
Legal business name
RENAISSANCE THERAPEUTIC MASSAGE INC.
Practice address
35 W 8TH Ave
Eugene, OR 97401-2901
Phone
(541) 686-4461
Fax
(541) 686-4465
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Annmarie Louise Maurer, LMT
Title
President
Phone
(541) 686-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 19124 OR Primary

Addresses

Primary practice location

35 W 8TH Ave
Eugene, OR 97401-2901

Mailing address

35 W 8TH Ave
Eugene, OR 97401-2901
Phone (541) 686-4461

Other names 1

  • Footloose Massage Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Footloose Massage Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1609250075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012901",
            "telephone_number": "541-686-4461",
            "fax_number": "541-686-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012901",
            "telephone_number": "541-686-4461",
            "fax_number": "541-686-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE THERAPEUTIC MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-686-4461",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footloose Massage Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.