Active NPI
Royce Allen Bivens, L.M.T.
- Massage Therapist
- Medford, OR
National Provider Identifier
1972805869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16493
- Practice address
- 2615 Sparta Way
Medford, OR 97504-4920 - Phone
- (541) 778-7066
- NPI assigned
- Nov 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16493 | OR | Primary |
Addresses
Primary practice location
2615 Sparta Way
Medford, OR 97504-4920
Mailing address
2615 Sparta Way
Medford, OR 97504-4920
Phone (541) 778-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16493 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290729600000",
"number": "1972805869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 SPARTA WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044920",
"telephone_number": "541-778-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 SPARTA WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044920",
"telephone_number": "541-778-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "ROYCE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-26",
"last_updated": "2010-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "16493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.