Back to the Source

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BACK TO THE SOURCE

Doing business as

Back to the Source

Practice address

823 NE Broadway St
Portland, OR 97232-1215

Phone

(503) 892-8787

NPI assigned

Jan 12, 2018

Last updated

Jan 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Robinson, LMTNPI 1710930342

Title

Owner

Phone

(503) 892-8787

Specialties & licenses 1

Addresses

Other names 1

• Back to the Source Doing business as

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.

• Julie K Robinson, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1710930342
  NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1942718952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321215",
            "telephone_number": "503-892-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321215",
            "telephone_number": "503-892-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO THE SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-892-8787",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to the Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Bachman, EFDA
• Hannah Bachrach, DO
• Nathan E Bachtell, MD
• Back Pain & Accident Chiropractic, LLC
• Back to Life Chiropractic
• Stephen Arthur Back, MD
• Grace Christine Backen
• Trevor James Backer, BA
• Courtney Backes
• William Backner

• 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 Jan 12, 2018; 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.