Cocoon Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10253 Issued in OR

Legal business name

COCOON MASSAGE LLC

Doing business as

Cocoon Massage llc

Practice address

7831 SE Stark St Ste 200
Portland, OR 97215-2357

Phone

(971) 266-4162

NPI assigned

Feb 14, 2012

Last updated

Apr 13, 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

Emily Amen, LMTNPI 1487844494

Title

Onwer

Phone

(971) 266-4162

Specialties & licenses 1

Addresses

Other names 1

• Cocoon Massage llc Doing business as

Locations

Practitioners 3

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.

• Emily Amen, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1487844494
  NPD Authorized official
• Heather Sweeney, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1144572835
  NPD
• Jessica Niforos, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1194190298
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1659644177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE",
            "address_2": "PMB 263",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97204",
            "telephone_number": "503-490-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 SE STARK ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152357",
            "telephone_number": "971-266-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOON MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "AMEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "971-266-4162",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocoon Massage llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kay M Cockerill, QMHP-C
• Janice L. Cockrell, MD
• Magdalene Cockrum
• Cesilie Cocks, ND
• Janice Marie Coco, LCSW
• Coda, Inc.
• Elisha Codding, LCSW, CADCI
• Sarah J Coderre, L.M.T.
• Dan P. Codiga
• Priscilla Kim Codiga, M.D

• 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 Apr 13, 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.