Organization Active NPI

Bodiwerks 1, Inc

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1902079668
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013902 Issued in WA
Legal business name
BODIWERKS 1, INC
Practice address
205 Bethel Ave
Port Orchard, WA 98366-5215
Phone
(360) 876-1799
Fax
(360) 874-1739
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Ms. Megan E Ross, LMP
Title
Owner
Phone
(206) 780-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00013902 WA Primary

Addresses

Primary practice location

205 Bethel Ave
Port Orchard, WA 98366-5215

Mailing address

PO Box 4489
Rollingbay, WA 98061-0489
Phone (360) 876-1799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1902079668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4489",
            "city": "ROLLINGBAY",
            "state": "WA",
            "postal_code": "980610489",
            "telephone_number": "360-876-1799",
            "fax_number": "360-874-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BETHEL AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665215",
            "telephone_number": "360-876-1799",
            "fax_number": "360-874-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIWERKS 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-780-8288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.