Elevatedbodyworks LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELEVATEDBODYWORKS LLC

Doing business as

Elevated Bodyworks LLC

Practice address

2306 NE Glisan St
Portland, OR 97232-2392

Phone

(801) 656-7362

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By 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

Sarah Olsen, LMTNPI 1649722018

Title

Owner

Phone

(801) 656-7362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elevated Bodyworks LLC Doing business as

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.

• Sarah Dawn Olsen, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1649722018
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1891327300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SE 136TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322392",
            "telephone_number": "801-656-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATEDBODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-656-7362",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPISTS",
            "identifier": "19511",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Bodyworks LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Portland, OR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.