NPIMap

Organization Active NPI

Advanced Bodywork and Massage LLC

  • Massage Therapist
  • McMinnville, OR
National Provider Identifier
1982907267
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ADVANCED BODYWORK AND MASSAGE LLC
Practice address
1018 NE 3Rd St Ste C
McMinnville, OR 97128-4403
Phone
(503) 883-9375
NPI assigned
Dec 8, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Stephanie Dean Jensen, LMT
Title
Owner/Therapist
Phone
(503) 883-9375

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

1018 NE 3rd St
Ste C
McMinnville, OR 97128
Phone (503) 883-9375

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1018 NE 3Rd St Ste C
McMinnville, OR 97128-4403

Mailing address

1018 NE 3Rd St Ste C
McMinnville, OR 97128-4403
Phone (503) 883-9375

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2010.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1982907267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 NE 3RD ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284403",
            "telephone_number": "503-883-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 NE 3RD ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284403",
            "telephone_number": "503-883-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BODYWORK AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "503-883-9375",
        "authorized_official_name_prefix": "Mrs.",
        "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 McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.