Organization Active NPI

Jennypenny LLC

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1982465712
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
JENNYPENNY LLC
Practice address
2305 SE Washington St Ste 105
Milwaukie, OR 97222-7647
Phone
(503) 901-6494
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Jennie DaileyNPI 1750941241
Title
Owner
Phone
(503) 901-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2305 SE Washington St Ste 105
Milwaukie, OR 97222-7647

Mailing address

PO Box 658
Gladstone, OR 97027-0658
Phone (503) 901-6494

National Provider Directory

National Provider Directory

Locations

2305 SE Washington St
Ste 105
Portland, OR 97222
Phone (503) 305-8825

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": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1982465712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970270658",
            "telephone_number": "503-901-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 105",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-901-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNYPENNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-901-6494"
    },
    "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 Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.