Organization Active NPI

Rest, Relax, Recover Therapeutic Massage Center

  • Massage Therapist
  • North Bend, OR
National Provider Identifier
1922482249
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER
Practice address
1834 McPherson St
Suite B
North Bend, OR 97459-3414
Phone
(541) 751-9990
Fax
(541) 808-0887
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Maria E Forty, LMT
Title
Owner
Phone
(541) 751-9990

Specialties & licenses 1

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

Addresses

Primary practice location

1834 McPherson St
Suite B
North Bend, OR 97459-3414

Mailing address

PO Box 1559
North Bend, OR 97459-0090
Phone (541) 751-9990

National Provider Directory

National Provider Directory

Locations

1834 McPherson St
Ste B
North Bend, OR 97459
Phone (541) 751-9990

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1922482249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974590090",
            "telephone_number": "541-751-9990",
            "fax_number": "541-808-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 MCPHERSON ST",
            "address_2": "SUITE B",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593414",
            "telephone_number": "541-751-9990",
            "fax_number": "541-808-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "FORTY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-751-9990",
        "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": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.