Organization Active NPI

Bitterroot Bodywork LLC

  • Clinic/Center
  • Bend, OR
National Provider Identifier
1801778972
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BITTERROOT BODYWORK LLC
Doing business as
Bitterroot Bodywork LLC
Practice address
20261 Knightsbridge PL
Bend, OR 97702-3534
Phone
(541) 306-7873
NPI assigned
Jul 21, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jesse Mae Abraham, LMTNPI 1346743267
Title
Manager
Phone
(541) 306-7873

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

20261 Knightsbridge PL
Bend, OR 97702-3534

Mailing address

20261 Knightsbridge PL
Bend, OR 97702-3534
Phone (541) 306-7873

Other names 1

  • Bitterroot Bodywork LLC Doing business as

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": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1801778972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 KNIGHTSBRIDGE PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023534",
            "telephone_number": "541-306-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 KNIGHTSBRIDGE PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023534",
            "telephone_number": "541-306-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERROOT BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-306-7873",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bitterroot Bodywork LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.