Portland Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21264 Issued in OR

Legal business name

PORTLAND BODYWORK

Practice address

2450 SE Belmont St
Portland, OR 97214-2821

Phone

(503) 407-4827

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Richard Blatt, LMTNPI 1295102382

Title

Licensed Massage Therapist

Phone

(503) 407-4827

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.

• Richard Blatt, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1295102382
  NPD (past) Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1902273998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142641",
            "telephone_number": "503-407-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142821",
            "telephone_number": "503-407-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-407-4827",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.