LAKE GROVE WELLNESS
NPI 1053723536
Massage Therapist in Lake Oswego, OR

NPI Status: Active since June 02, 2014

Contact Information

16320 BRYANT RD
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 908-1180

Get Directions Write a Review

  • Organization
  • Massage Therapist
  • Accepts Insurance

About LAKE GROVE WELLNESS

This page provides the complete NPI Profile along with additional information for Lake Grove Wellness, a provider established in Lake Oswego, Oregon operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1053723536 assigned on June 2014. The practitioner's primary taxonomy code is 225700000X with license number 6748 (OR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kathleeen Jordan Lmt (Owner)

NPI
1053723536
Provider Name
LAKE GROVE WELLNESS
Entity Type
Organization
Location Address
16320 BRYANT RD LAKE OSWEGO, OR 97035
Location Phone
(503) 908-1180
Mailing Address
16320 BRYANT RD LAKE OSWEGO, OR 97035
Mailing Phone
(503) 908-1180
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2014
Last Update Date
06-02-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
6748
License State
OR
Taxonomy Description
An 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEEN JORDAN LMT

Authorized Official Title
OWNER
Authorized Official Phone
(503) 908-1180

Reviews for LAKE GROVE WELLNESS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053723536, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 2 + 6 + 5 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053723536.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Massage Therapist
16320 BRYANT RD
LAKE OSWEGO, OR 97035
Massage Therapist
16320 BRYANT RD
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053723536, enumerated as an "organization" on June 02, 2014.

The provider is located at 16320 BRYANT RD LAKE OSWEGO, OR 97035 and the phone number is (503) 908-1180.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.