NPIMap

Organization Active NPI

Pure Serenity Massage LLC

  • Massage Therapist
  • Saint Helens, OR
National Provider Identifier
1649572207
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PURE SERENITY MASSAGE LLC
Practice address
440 Columbia Blvd.
St. Helens, OR 97051
Phone
(503) 366-8084
Fax
(503) 396-5936
NPI assigned
Dec 2, 2010
Organization subpart
Yes
Parent organization
PURE SERENITY MASSAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Kayla Dian Mixer, LMTNPI 1922284256
Title
Owner
Phone
(971) 203-3632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

440 Columbia Blvd.
St. Helens, OR 97051

Mailing address

440 Columbia Blvd.
St. Helens, OR 97051
Phone (503) 366-8084

National Provider Directory

National Provider Directory
Part of
Pure Serenity Massage LLC

Locations

440 Columbia Blvd
Saint Helens, OR 97051
Phone (503) 366-8084

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1649572207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 COLUMBIA BLVD.",
            "city": "ST. HELENS",
            "state": "OR",
            "postal_code": "97051",
            "telephone_number": "503-366-8084",
            "fax_number": "503-396-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COLUMBIA BLVD.",
            "city": "ST. HELENS",
            "state": "OR",
            "postal_code": "97051",
            "telephone_number": "503-366-8084",
            "fax_number": "503-396-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SERENITY MASSAGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURE SERENITY MASSAGE",
        "enumeration_date": "2010-12-02",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MIXER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "DIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-203-3632",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.