NPIMap

Organization Active NPI

Body Altar

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1841845732
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BODY ALTAR
Practice address
443 NE Knott St
Portland, OR 97212-3108
Phone
(503) 941-0152
Fax
(503) 282-1070
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Andrea Blum, LMTNPI 1225468788
Title
Owner
Phone
(415) 515-6152

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

443 NE Knott St
Portland, OR 97212-3108

Mailing address

6948 N Montana Ave
Portland, OR 97217-5432
Phone (415) 515-6152

National Provider Directory

National Provider Directory

Locations

443 NE Knott St
Portland, OR 97212
Phone (971) 404-6146

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": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1841845732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 N MONTANA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175432",
            "telephone_number": "415-515-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "503-941-0152",
            "fax_number": "503-282-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY ALTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-515-6152",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "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 Aug 7, 2019; 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.