NPIMap

Organization Active NPI

Bodywise Physical Therapy Inc

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1629021290
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0829199-3 Issued in OR
Legal business name
BODYWISE PHYSICAL THERAPY INC
Practice address
1030 NW 12TH Ave Ste 1
Portland, OR 97209-2838
Phone
(503) 701-4390
Fax
(503) 974-2612
NPI assigned
May 18, 2006
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Megan Marie Moseley, PT, LMTNPI 1235180977
Title
President/Owner
Phone
(503) 701-4390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0829199-3 OR Primary

Addresses

Primary practice location

1030 NW 12TH Ave Ste 1
Portland, OR 97209-2838

Mailing address

1030 NW 12TH Ave Ste 1
Portland, OR 97209-2838
Phone (503) 701-4390

National Provider Directory

National Provider Directory

Locations

1410 Oak St
Eugene, OR 97401
Phone (541) 338-7171

1030 NW 12th Ave
Ste 1
Portland, OR 97209
Phone (503) 701-4390

402 NW 12th Ave
Portland, OR 97209
Phone (503) 701-4390

917 SW Oak St
Ste 407
Portland, OR 97205
Phone (503) 701-4390

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1629021290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NW 12TH AVE STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092838",
            "telephone_number": "503-701-4390",
            "fax_number": "503-974-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NW 12TH AVE STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092838",
            "telephone_number": "503-701-4390",
            "fax_number": "503-974-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-701-4390",
        "authorized_official_credential": "PT, LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0829199-3",
            "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 Dec 13, 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.