Expanse Massage & Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EXPANSE MASSAGE & BODYWORK LLC

Practice address

3939 NE Hancock St Ste 311
Portland, OR 97212-5321

Phone

(928) 853-9929

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Beam, LMTNPI 1932975752

Title

Organizer

Phone

(928) 853-9929

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.

• Ryan Daniel Beam, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1932975752

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1912722596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 NE 24TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116128",
            "telephone_number": "928-853-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST STE 311",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "928-853-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANSE MASSAGE & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "928-853-9929",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Nov 19, 2024; 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.