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SURGE WELLNESS
NPI 1811302607
Massage Therapist in Portland, OR

Active since July 01, 2014
2188 SW PARK PL, SUITE 10, PORTLAND, OR 97205(503) 568-1390 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 25, 2024, Feb 18, 2023, Feb 10, 2023 (3 updates tracked since 2023).

About Surge Wellness NPPES

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

SURGE WELLNESS (NPI 1811302607) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since July 2014. The organization maintains 2 additional practice locations and lists Casey Holliman, President, as its authorized official.

NPPES Registry Identity

NPI1811302607
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NamePERFORMANCE BODYWORK LLC
Location Address2188 SW PARK PL, SUITE 10Portland, OR 97205-1100
Mailing Address2188 Sw Park Pl, Suite 10Portland, OR 97205-1100 · (503) 568-1390
Phone(503) 568-1390
Organization SubpartNo
Authorized OfficialCasey HollimanPresident · (503) 568-1390
Enumeration DateJuly 1, 2014
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1811302607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2188 SW PARK PL, Portland, OR 97205
Open in Google Maps ↗

Other Names 1

Doing Business AsSurge Wellness

Secondary Practice Locations 2

Location 110029 SW Nimbus Ave Ste 230Beaverton, OR 97008-7110 · Phone (503) 372-6035 · Fax (503) 296-2170
Location 211786 NW Cedar Falls Dr Ste 220Portland, OR 97229-2787 · Phone (503) 530-8839

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDA CLIFFORD ROCKWELL MSW LCSW BCD
Social Worker (Clinical)
2188 SW PARK PL, SUITE 301
PORTLAND, OR 97205
Multnomah County (503) 241-3606
DR. STANDISH MCCLEARY III PH.D.
Psychologist
2188 SW PARK PL, SUITE 200
PORTLAND, OR 97205
Multnomah County (503) 228-0688
CAROL JO STUART PSY.D.
Psychologist
2188 SW PARK PL, 205
PORTLAND, OR 97205
Multnomah County (503) 827-4800
DUNBAR SCOTT CARPENTER PSY.D.
Psychologist (Clinical)
2188 SW PARK PL, SUITE 304
PORTLAND, OR 97205
Multnomah County (503) 220-0991
MINA T ANDREAS L.M.T.
Massage Therapist
2188 SW PARK PL
PORTLAND, OR 97205
Multnomah County (503) 568-1390
DR. TIFFANY LORRAINE MCCLEARY PSY.D.
Psychologist (Clinical)
2188 SW PARK PL, SUITE 305
PORTLAND, OR 97205
Multnomah County (503) 701-6713
LAURA; KUBLY
Massage Therapist
2188 SW PARK PL, SUITE 10
PORTLAND, OR 97205
Multnomah County (503) 568-1390
EMILIE WYRICK LMT
Massage Therapist
2188 SW PARK PL
PORTLAND, OR 97205
Multnomah County (707) 738-7351

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 Performance Bodywork LLC's NPI number?

The NPI number for Performance Bodywork LLC is 1811302607. It was assigned to this organization in the NPPES registry on July 1, 2014. The provider is doing business as Surge Wellness.

Where is Performance Bodywork LLC located?

Performance Bodywork LLC is located at 2188 SW Park Pl Suite 10, Portland, OR 97205. The listed phone number is (503) 568-1390.

What is Performance Bodywork LLC's specialty?

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

What insurance does Performance Bodywork LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Performance Bodywork LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Performance Bodywork LLC was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.