Organization Active NPI

Body Balance Rolfing and Massage, LLC

  • Specialist
  • Portland, OR
National Provider Identifier
1760831473
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19379 Issued in OR
Legal business name
BODY BALANCE ROLFING AND MASSAGE, LLC
Practice address
6500 SW Beaverton Hillsdale Hwy
Suite 5
Portland, OR 97225-1400
Phone
(503) 890-9365
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Jennifer Rock, LMT
Title
Owner
Phone
(503) 345-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19379 OR Primary

Addresses

Primary practice location

6500 SW Beaverton Hillsdale Hwy
Suite 5
Portland, OR 97225-1400

Mailing address

6504 SW Boundary St
Portland, OR 97225-1450
Phone (503) 345-7660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1760831473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 SW BOUNDARY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251450",
            "telephone_number": "503-345-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251400",
            "telephone_number": "503-890-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE ROLFING AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-345-7660",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "19379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.