NPIMap

Organization Active NPI

Breathe Yoga and Massage, LLC

  • Mechanotherapist
  • Vancouver, WA
National Provider Identifier
1740561752
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00008425 Issued in WA
Legal business name
BREATHE YOGA AND MASSAGE, LLC
Practice address
17030 SE 1St St Ste 102
Vancouver, WA 98684-8514
Phone
(360) 604-1226
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Tenaya Virgin, LMPNPI 1497051700
Title
Owner/Manager
Phone
(360) 604-1226

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
Mechanotherapist 172M00000X MA00008425 WA Primary

Addresses

Primary practice location

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

Mailing address

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

National Provider Directory

National Provider Directory

Locations

17030 SE 1st St
Ste 102
Vancouver, WA 98684
Phone (360) 604-1226

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1740561752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514",
            "telephone_number": "360-604-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE YOGA AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "VIRGIN",
        "authorized_official_first_name": "TENAYA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-604-1226",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00008425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.