NPIMap

Organization Active NPI

Balanced Massage, LLC

Doing business as Balanced Massage

  • Massage Therapist
  • Medford, OR
National Provider Identifier
1881235745
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BALANCED MASSAGE, LLC
Doing business as
Balanced Massage
Practice address
836 E Main St Ste 1
Medford, OR 97504-7115
Phone
(541) 773-9324
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Cara Wirt, LMTNPI 1730212440
Title
Owner, Manager
Phone
(541) 773-9324

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 Primary

Addresses

Primary practice location

836 E Main St Ste 1
Medford, OR 97504-7115

Mailing address

836 E Main St Ste 1
Medford, OR 97504-7115
Phone (541) 773-9324

Other names 1

  • Balanced Massage Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@balanced-massage.com Direct

National Provider Directory

National Provider Directory

Locations

836 E Main St
Ste 1
Medford, OR 97504
Phone (541) 631-1751

Practitioners & affiliated clinicians

Practitioners 10

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": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1881235745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E MAIN ST STE 1",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047115",
            "telephone_number": "541-773-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E MAIN ST STE 1",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047115",
            "telephone_number": "541-773-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "WIRT",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "541-773-9324",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@balanced-massage.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "836 E Main St Ste 1",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Balanced Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.