Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOTS WELLNESS MASSAGE, LLC
NPI 1124926738
Massage Therapist in Gresham, OR

Q: What is Roots Wellness Massage, LLC's NPI number?

The NPI number for Roots Wellness Massage, LLC is 1124926738. It was assigned to this organization in the NPPES registry on October 26, 2026.

Q: What is Roots Wellness Massage, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Active since October 26, 2026

1217 NE BURNSIDE RD STE 604, GRESHAM, OR 97030(360) 566-5907 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Roots Wellness Massage, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS WELLNESS MASSAGE, LLC (NPI 1124926738) is a healthcare organization registered as a massage therapist in Gresham, Oregon and active in the NPI registry since October 2026. The organization lists Dominique Louise Garrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1124926738

Entity TypeOrganization

Primary Taxonomy225700000X

Legal Business NameROOTS WELLNESS MASSAGE, LLC

Location Address1217 NE BURNSIDE RD STE 604Gresham, OR 97030-5770

Mailing Address2700 W Powell Blvd Apt G252Gresham, OR 97030-6514 · (360) 566-5907

Phone(360) 566-5907

Organization SubpartNo

Authorized OfficialDominique Louise GarrisonOwner · (360) 566-5907

Enumeration DateOctober 26, 2026

NPPES CertifiedOctober 26, 2026

✔ NPI 1124926738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

Definition

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.

1217 NE BURNSIDE RD STE 604, Gresham, OR 97030

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roots Wellness Massage, LLC's NPI number?

The NPI number for Roots Wellness Massage, LLC is 1124926738. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Roots Wellness Massage, LLC located?

Roots Wellness Massage, LLC is located at 1217 NE Burnside Rd Ste 604, Gresham, OR 97030. The listed phone number is (360) 566-5907.

What is Roots Wellness Massage, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Roots Wellness Massage, LLC was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.