Bodywork Massage Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

7087 Issued in OR

Legal business name

BODYWORK MASSAGE INC.

Practice address

329 NE Hood Ave
Gresham, OR 97030-7449

Phone

(503) 618-9760

NPI assigned

Aug 12, 2009

Last updated

Aug 12, 2009By 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

Mr. David Jonathan Emerson, LMTNPI 1053526137

Title

President

Phone

(503) 618-9760

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, and the practitioner matching its NPPES authorized official.

• David Jonathan Emerson, LMT

  • Mechanotherapist
  • Gresham, OR
  • NPI 1053526137
  NPD (past) Authorized official

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1891927661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307449",
            "telephone_number": "503-618-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307449",
            "telephone_number": "503-618-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORK MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-618-9760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "7087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie J Block, LD
• Stephen Matthew Block, DPT
• Blue Lake Oral and Maxillofacial Surgery, PC
• Jeremy Patrick Boal, LCSW
• Bodies in Balance Chiropractic LLC
• Caitlynn Claire Didlick Bohman, LAC, DACM, MACOM
• Melissa Anne Bohnstedt, MS, CCC-SLP
• David Michael Bohrer, DC
• Aqueelah F Bolden-McCoy, PSS
• Angelo Joseph Bologna, PT

• Medical Specialty Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.