Body of Life Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22736 Issued in OR

Legal business name

BODY OF LIFE MASSAGE

Practice address

3800 SW Cedar Hills Blvd
Suite 193
Beaverton, OR 97005-2027

Phone

(541) 954-9979

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By 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

Jessica Fisher, LMTNPI 1619427572

Title

Owner

Phone

(541) 954-9979

Specialties & licenses 1

Addresses

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.

• Jessica Fisher, LMT #22736

  • Massage Therapist
  • Beaverton, OR
  • NPI 1619427572
  NPD (past) Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1760921837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 193",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 193",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027",
            "telephone_number": "541-954-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY OF LIFE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-954-9979",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bob Ross, LCSW, LLC
• Jay A Bocchi, MD
• Body & Face LLC
• Body Imaging PC (Body Imaging Radiology)
• Body Mechanix Acupuncture/Massage
• Body Sage Massage Therapies, LLC
• Samantha Boe
• Brad Craig Boehme
• Colin Patrick Boehnlein, MD
• Kelly Diane Boeve, LPC

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.