The Bright Way Massage Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12086 Issued in OR

Legal business name

THE BRIGHT WAY MASSAGE THERAPY, LLC

Practice address

1020 SW Taylor St
Suite 645
Portland, OR 97205-2543

Phone

(503) 407-8246

Fax

(888) 208-6024

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Brooking, LMTNPI 1538280037

Title

President

Phone

(503) 407-8246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lisa M. Brooking, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1538280037
  NPD (past) Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1962849489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 645",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-407-8246",
            "fax_number": "888-208-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 645",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-407-8246",
            "fax_number": "888-208-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIGHT WAY MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "BROOKING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-407-8246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1538280037",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Art of Balance LLC
• The Asian Mental Health Collective
• The Athlete'S Point, LLC
• The Bodhi Tree
• The Boys & Girls Aid Society of Oregon
• The Center for Being Human, LLC
• The Center for Couples & Sex Therapy, LLC
• The Conversation Room, LLC
• The Cottages Opco LLC
• The Creative Wellness Studio

• 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 May 23, 2013; 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.