BODYWORK FOR THE ACTIVE NPI 1528486982

NPI Information

  • NPI: 1528486982
  • Provider Name: BODYWORK FOR THE ACTIVE
  • Classification: Mechanotherapist - 172M00000X
  • Entity Type: Organization
  • Address: 2701 NW VAUGHN ST STE 154
    PORTLAND, OR
    ZIP 97210
  • Phone: (971) 246-0057

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NPI Details

BODYWORK FOR THE ACTIVE is a mechanotherapist in Portland, OR. The provider is 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. BODYWORK FOR THE ACTIVE NPI is 1528486982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2701 NW VAUGHN ST STE 154
PORTLAND, OR
ZIP 97210-349
Phone: (971) 246-0057

The provider's authorized official is Ricard M Deaustria .
The authorized official title is Owner/lmt and has the following contact phone number (971) 246-0057.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 4/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172M00000XMechanotherapist15490OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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