Organization Active NPI

Taproot Revival, LLC

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1982571105
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
TAPROOT REVIVAL, LLC
Practice address
707 NW Hill St
Bend, OR 97703-2922
Phone
(319) 929-6414
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Josie Neuzil, LMTNPI 1811611072
Title
Owner
Phone
(319) 929-6414

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

707 NW Hill St
Bend, OR 97703-2922

Mailing address

1404 NW Ithaca Ave
Bend, OR 97703-2114
Phone (319) 929-6414

National Provider Directory

National Provider Directory

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1982571105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NW ITHACA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032114",
            "telephone_number": "319-929-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NW HILL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032922",
            "telephone_number": "319-929-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPROOT REVIVAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "NEUZIL",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-929-6414",
        "authorized_official_credential": "LMT"
    },
    "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 Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.