NPIMap

Organization Active NPI

Mend Therapeutic Massage LLC

Doing business as Mend Therapeutic Massage

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1801446539
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MEND THERAPEUTIC MASSAGE LLC
Doing business as
Mend Therapeutic Massage
Practice address
1663 High St
Eugene, OR 97401-4113
Phone
(541) 513-5264
NPI assigned
Sep 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Melanie Simmons, LMTNPI 1285025080
Title
Owner
Phone
(541) 513-5264

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1663 High St
Eugene, OR 97401-4113

Mailing address

1663 High St
Eugene, OR 97401-4113
Phone (541) 513-5264

Other names 1

  • Mend Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

1663 High St
Eugene, OR 97401
Phone (541) 513-5264

1601 Willamette St
#2
Eugene, OR 97401
Phone (636) 544-0150

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": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1801446539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014113",
            "telephone_number": "541-513-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014113",
            "telephone_number": "541-513-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-513-5264",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mend Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mend Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.