Kor Bodywork and Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KOR BODYWORK AND WELLNESS LLC

Practice address

1975 NW 167TH PL
Beaverton, OR 97006-4908

Phone

(971) 219-2902

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Candice Simpson

Title

Owner

Phone

(971) 219-2902

Specialties & licenses 1

Addresses

Practitioners 1

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

• Candice Renee Roberts, LMT

  • Massage Therapist
  • Beaverton, OR
  • NPI 1801220777
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1851021901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 NW 140TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-219-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOR BODYWORK AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-219-2902"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Koide-Gasser, LCSW
• Regina Kokoszka
• Kian Kolahi
• Melanie Kong-Shaw, M.A., B.C.B.A
• Sandhya V Koppula, MD
• Sally Hafez Kordab, MD
• Tanya Kornuta, RDH
• Anna Koroteyev, RDH
• Andrea Noel Koskamp, DPT
• Shahana Koslofsky, PHD

• 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 Jun 13, 2022; 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.