NPIMap

Organization Active NPI

Bio Foot Reflexology and Massage Center, LLC

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1740524735
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17234 Issued in OR
Legal business name
BIO FOOT REFLEXOLOGY AND MASSAGE CENTER, LLC
Practice address
3805 SW Hall Blvd
Beaverton, OR 97005-2049
Phone
(503) 526-9285
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Mr. Michael Alden Leard
Title
Financial Manager
Phone
(503) 526-9285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 17234 OR Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 18829 OR

Addresses

Primary practice location

3805 SW Hall Blvd
Beaverton, OR 97005-2049

Mailing address

3805 SW Hall Blvd
Beaverton, OR 97005-2049
Phone (503) 526-9285

National Provider Directory

National Provider Directory
Tax ID family
Bio Foot Reflexology and Massage Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3805 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 526-9285

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1740524735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-526-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-526-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO FOOT REFLEXOLOGY AND MASSAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "LEARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "503-526-9285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17234",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.