Restore Massage Therapy, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11539 Issued in OR

Legal business name

RESTORE MASSAGE THERAPY, INC

Practice address

1922 21St Ave
Forest Grove, OR 97116-1638

Phone

(503) 701-7714

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By 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

Melinda Grace Apodaca, LMTNPI 1053359521

Title

Owner/ Massage Therapist

Phone

(503) 701-7714

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Melinda G Apodaca, LMT

  • Massage Therapist
  • West Linn, OR
  • NPI 1053359521
  NPD (past) Authorized official

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1720481518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 21ST AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161638",
            "telephone_number": "503-701-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 21ST AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161638",
            "telephone_number": "503-701-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MASSAGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-701-7714",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "225700000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Melissa Pullum-Pinon, LMSW
• R L Goff Enterprises, Inc (Forest Grove Pharmacy LLC)
• John Wilfred Randall, OD, MPH
• Raven Song Counseling
• Lee Ann Remington, O.D.
• Roger Reynolds, D.O.
• Richardson Eyecare PC
• Brad C Richardson, O.D.
• Eli Richardson, O.D.
• Jessica Richardson, AU.D.

• Massage Therapist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.