Organization Active NPI

Bodhi Tree LLC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1922350248
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60248152 Issued in WA
Legal business name
BODHI TREE LLC
Practice address
2808-II E Madison Street
Suite 203
Seattle, WA 98117
Phone
(206) 743-8619
Fax
(206) 743-8619
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Tara Anh Rohrbach, D.C.
Title
Owner
Phone
(206) 743-8619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60248152 WA Primary

Addresses

Primary practice location

2808-II E Madison Street
Suite 203
Seattle, WA 98117

Mailing address

2808-II E Madison Street
Suite 203
Seattle, WA 98117
Phone (206) 743-8619

Other names 1

  • Bodhi Chiropractic & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1601 N 52nd St
Seattle, WA 98103
Phone (206) 743-8619

2808 E Madison St
Ste 203
Seattle, WA 98112
Phone (206) 743-8619

Practitioners & affiliated clinicians

Practitioners 1

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": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1922350248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808-II E MADISON STREET",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-743-8619",
            "fax_number": "206-743-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808-II E MADISON STREET",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-743-8619",
            "fax_number": "206-743-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ROHRBACH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-743-8619",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60248152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodhi Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.