Aspire Chiropractic & Massage Inc. – Chiropractor

Key facts

NPI: 1780923532
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 4022 (OR)
Legal business name: ASPIRE CHIROPRACTIC & MASSAGE INC.
Practice address: 23479 SE Stark St Ste 101
Gresham, OR 97030-2962
Phone: (503) 618-0147
Fax: (503) 618-0148
NPI assigned: Feb 13, 2013
Organization subpart: No

Authorized official

Name: Dr. Mark Betsill, D.C. NPI 1003092248
Title: Owner/Doctor of Chiropractic
Phone: (503) 618-0147

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Mark Anthony Betsill, D.C Chiropractor · Gresham, OR · NPI 1003092248

Medicare reassignment Care Compare group Authorized official OR
Ann Marie King, D.C. Chiropractor · Gresham, OR · NPI 1588991764

Medicare reassignment Care Compare group NPD CHIROPRACTOR · OR
Michele Lynn Cates, LMT Massage Therapist · Gresham, OR · NPI 1740160514

NPD
Adeyemi B Cole, LMT Massage Therapist · Gresham, OR · NPI 1225778889

NPD
Dominique Garrison, LMT Massage Therapist · Gresham, OR · NPI 1356181309

NPD
Meleah Orazio Prevo, LMT Massage Therapist · Gresham, OR · NPI 1801599725

NPD
Brianna Lee Briggs, LMT Massage Therapist · Gresham, OR · NPI 1558778563

NPD (past)
Megan Kallas, L.M.T. Massage Therapist · Gresham, OR · NPI 1801267489

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OR

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20130422000054	OR	Part B Supplier - Clinic/Group Practice	0941446868	Receives reassigned benefits from 2 practitioners Practice locations: Gresham, OR

National Provider Directory

Locations

22124 NE Glisan St
Gresham, OR 97030
Phone (503) 410-3688

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	4022	OR	Yes

Addresses

Primary practice location

23479 SE Stark St Ste 101
Gresham, OR 97030-2962

Mailing address

23479 SE Stark St Ste 101
Gresham, OR 97030-2962
Phone (503) 618-0147

Other names

Aspire Chiropractic & Massage Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2023.

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1780923532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE CHIROPRACTIC & MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BETSILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "503-618-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspire Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

All providers in Gresham, OR · Chiropractor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.