Sacred Oak LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SACRED OAK LLC

Practice address

277 State St Ste 1a
Bangor, ME 04401-5440

Phone

(207) 991-3996

NPI assigned

Feb 10, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy JH Crawford, LMT, CNHNPI 1609601681

Title

Owner

Phone

(207) 991-3996

Specialties & licenses 1

Addresses

Locations

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.

• Tracy JH Crawford, LMT

  • Massage Therapist
  • Bangor, ME
  • NPI 1609601681
  NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1851106686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 HUDSON RD",
            "city": "GLENBURN",
            "state": "ME",
            "postal_code": "044011492",
            "telephone_number": "207-991-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST STE 1A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015440",
            "telephone_number": "207-991-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED OAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "JH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-991-3996",
        "authorized_official_credential": "LMT, CNH"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Rydell, DO
• Rosa Maria Ryder, ADCA
• Susan A Ryder, LCPC
• Romene Sablok
• Alen Sabu, MD
• Katarzyna Sadurska, MD
• Tabitha Sagner
• Alexandra Pasternack Sagov, LMSW
• Sajan Babu Sah, MD
• Tahira Saifuddin, MD

• Massage Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.