Organization Active NPI

Soma Wellness Spa

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1689237273
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOMA WELLNESS SPA
Practice address
7177 NE Imbrie Dr
Hillsboro, OR 97124-7594
Phone
(503) 747-6244
Fax
(503) 966-7954
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Abigail Ismath, LMTNPI 1407195852
Title
Owner
Phone
(503) 330-9022

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

7177 NE Imbrie Dr
Hillsboro, OR 97124-7594

Mailing address

1126 SE Tamora Ave
Hillsboro, OR 97123-4781
Phone (503) 330-9022

National Provider Directory

National Provider Directory

Locations

7177 NE Imbrie Dr
Hillsboro, OR 97124
Phone (503) 648-7662

Practitioners & affiliated clinicians

Practitioners 4

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": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1689237273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SE TAMORA AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234781",
            "telephone_number": "503-330-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 NE IMBRIE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247594",
            "telephone_number": "503-747-6244",
            "fax_number": "503-966-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA WELLNESS SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ISMATH",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-330-9022",
        "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 Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.