Ranger Disiabled Injury Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RANGER DISIABLED INJURY MASSAGE LLC

Practice address

14010 NE 3Rd CT BLDG B
Vancouver, WA 98685-2928

Phone

(360) 949-0133

Fax

(360) 768-5110

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Jebediah Sides, MASSAGE THERAPISTNPI 1619738804

Title

Owner

Phone

(360) 949-0133

Specialties & licenses 1

Addresses

Other names 2

• R.D.I.M Doing business as
• R.D.I.M. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jebediah I Sides, LMT

  • Massage Therapist
  • Vancouver, WA
  • NPI 1619738804
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1962266874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 NE 115TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864479",
            "telephone_number": "503-739-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 NE 3RD CT BLDG B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852928",
            "telephone_number": "360-949-0133",
            "fax_number": "360-768-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGER DISIABLED INJURY MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "JEBEDIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-949-0133",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.D.I.M",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R.D.I.M.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shushan R Rana, MD
• Kory Randall, OT
• Lindsay Brooke Randall, PSYD
• John Randles, M.D.
• Patricia Eileen Randolph, LMP
• Magellan Rankin, BA
• Donna Rankins, CG60486608
• Eunita Rankins, LICSW
• Jennifer Ranney, AU.D.
• Herma Ranola, DMD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.