INTEGRATIVE MEDICAL MASSAGE LLC
NPI 1801454772
Massage Therapist in Beaverton, OR
NPI Status: Active since June 05, 2019
Contact Information
3800 SW CEDAR HILLS BLVD STE 229
BEAVERTON, OR
ZIP 97005
Phone: (503) 913-8112
- Organization
- Massage Therapist
- CLIA Number: 38D2240148
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-17-2027
About INTEGRATIVE MEDICAL MASSAGE LLC
This page provides the complete NPI Profile along with additional information for Integrative Medical Massage Llc, a provider established in Beaverton, Oregon operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1801454772 assigned on June 2019. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated 7 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 Aaron Lee Bates Lmt (Owner/manager)
- NPI
- 1801454772
- Provider Name
- INTEGRATIVE MEDICAL MASSAGE LLC
- Entity Type
- Organization
- Location Address
- 3800 SW CEDAR HILLS BLVD STE 229 BEAVERTON, OR 97005
- Location Phone
- (503) 913-8112
- Mailing Address
- 3800 SW CEDAR HILLS BLVD STE 229 BEAVERTON, OR 97005
- Mailing Phone
- (503) 913-8112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2019
- Last Update Date
- 06-05-2019
- 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
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2240148
- Facility Type
- Physician Office
- Certificate Effective Date
- October 18, 2025
- Certificate Expiration Date
- October 17, 2027
- Laboratory Director
- DIANNA L. HENSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Integrative Medical Massage Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1801454772, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
BEAVERTON, OR 97005
BEAVERTON, OR 97005
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801454772, enumerated as an "organization" on June 05, 2019.
The provider is located at 3800 SW CEDAR HILLS BLVD STE 229 BEAVERTON, OR 97005 and the phone number is (503) 913-8112.
Massage Therapist with taxonomy code 225700000X.