Epicenter Therapeutic Bodywork and Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EPICENTER THERAPEUTIC BODYWORK AND MASSAGE LLC

Practice address

4475 SW Scholls Ferry Rd
Portland, OR 97225-1955

Phone

(541) 525-8115

NPI assigned

Apr 10, 2023

Last updated

Nov 5, 2024By 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

Fenicks Renasci, LMTNPI 1356078596

Title

President

Phone

(541) 525-8115

Specialties & licenses 1

Addresses

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.

• Fenicks Renasci, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1356078596
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1720773328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251955",
            "telephone_number": "541-525-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251955",
            "telephone_number": "541-525-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPICENTER THERAPEUTIC BODYWORK AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "RENASCI",
        "authorized_official_first_name": "FENICKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-525-8115",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina W. Enticknap, LPC
• Layla Entrikin
• Stephanie N Entrikin, RD, LD
• Katie Enyart, LMT
• Epic Imaging PC (Rayus Radiology)
• Epiphany Counseling Services, LLC
• Epiphany Dermatology of Oregon, LLC
• Sarah Leigh Epley, CRM
• Tanja S Epley, DO
• Daniel Eppelsheimer

• 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 Nov 5, 2024; 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.