MR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER NPI 1013152032

Massage Therapist in Portland, OR

NPI 1013152032 Individual Male Massage Therapist

About JONATHAN GROSSART

Jonathan Grossart is a provider established in Portland, Oregon and his medical specialization is massage therapist. The NPI number of Jonathan Grossart is 1013152032 and was assigned on December 2008. The practitioner's primary taxonomy code is 225700000X with license number 13752 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Jonathan Grossart is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013152032

Provider NameMR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER
Provider Location Address1727 NE 13TH AVE STE 101 PORTLAND, OR 97212
Provider Mailing Address1727 NE 13TH AVE STE 101 PORTLAND, OR 97212
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-04-2008
Last Update Date11-01-2017


Primary Taxonomy

Taxonomy Code225700000X
ClassificationMassage Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.13752
License StateOR
Taxonomy DescriptionAn individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Business Address

MR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER
1727 NE 13TH AVE STE 101
PORTLAND, OR
ZIP 97212
Phone: (503) 933-8066

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Mailing Address

MR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER
1727 NE 13TH AVE STE 101
PORTLAND, OR
ZIP 97212
Phone: (503) 933-8066



NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.