BODYWORK FOR THE ACTIVE (NPI# 1528486982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528486982 |
| Entity Type | Organization |
| Organization Name | BODYWORK FOR THE ACTIVE |
| Practice Address |
2701 Nw Vaughn St Ste 154 Portland OR 97210-5349 |
| Practice Telephone | 9712460057 |
| Mailing Telephone | 9712460057 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | MR. RICARD M DEAUSTRIA JR. (OWNER/LMT) |
| Authorized Official Telephone | 9712460057 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 15490 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BODYWORK FOR THE ACTIVE | 2330 Nw 31st Ave Ste 204, Portland, OR 97210 |
| Street Address |
2701 NW VAUGHN ST STE 154 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447495601 | Ricardo M Deaustria Jr. | Mechanotherapist | 2701 Nw Vaughn St Ste 154, Portland, OR 97210-5349 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548794779 | Sara Greenhouse | Mechanotherapist | 1417 N Shaver St, Portland, OR 97227-1060 | 2017-04-14 |
| 1740714963 | Mariza Noyama-zee | Mechanotherapist | 6516 Se 92nd Ave, Portland, OR 97266-5236 | 2017-04-13 |
| 1104367143 | Janae Schiller | Mechanotherapist | 825 Se 32nd Ave, Portland, OR 97214-4201 | 2017-03-09 |
| 1336686237 | Mariana Orantes Blackstone | Mechanotherapist | 16011 Ne Halsey St, Portland, OR 97230-5629 | 2017-01-30 |
| 1619321700 | Talor Lee-stiles | Mechanotherapist | 134 Ne 75th Ave, Portland, OR 97213-6315 | 2016-04-14 |
| 1184085144 | Alissa Lamb | Mechanotherapist | 1476 Ne Sumner St, Portland, OR 97211-4434 | 2016-03-17 |
| 1629436498 | Margarita Maria Mccabe | Mechanotherapist | 5310 Se Schiller St, Apt. A, Portland, OR 97206-4873 | 2016-02-08 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1932599263 | Lauren Mcaninch | Mechanotherapist | 4424 Se Clay St, Portland, OR 97215-3151 | 2015-01-26 |
| 1659779957 | Gretchen Hogue | Mechanotherapist | 3339 Se Division St, Suite F - Akasa Thai Healing Arts, Portland, OR 97202-1492 | 2014-12-18 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on BODYWORK FOR THE ACTIVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.