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GREENLEAF SOFT TISSUE THERAPY LLC
NPI 1942897459
General Practice in Bangor, PA

Active since December 30, 2020
32 MARKET ST, BANGOR, PA 18013(610) 452-9021 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2021, May 14, 2021, Mar 22, 2021 and 1 more (4 updates tracked since 2020).

About Greenleaf Soft Tissue Therapy Llc NPPES

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

GREENLEAF SOFT TISSUE THERAPY LLC (NPI 1942897459) is a healthcare organization registered as a general practice in Bangor, Pennsylvania and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Mount Bethel and lists Marissa Spencer, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1942897459
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGREENLEAF SOFT TISSUE THERAPY LLC
Location Address32 MARKET STBangor, PA 18013-1902
Mailing Address32 Market StBangor, PA 18013-1902 · (610) 452-9021
Phone(610) 452-9021
Organization SubpartNo
Authorized OfficialMarissa SpencerOwner/manager · (610) 452-9021
Enumeration DateDecember 30, 2020
Last NPPES UpdateJuly 12, 20214 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1942897459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedMassage TherapistTaxonomy 225700000X
32 MARKET ST, Bangor, PA 18013
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Secondary Practice Location 1

Location 114 Mount Bethel PlzMount Bethel, PA 18343-5212 · Phone (610) 452-9021

Group Practice 2

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

Other Providers at the Same Location NPPES 3

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

SHANNA WADE LMT
Massage Therapist
32 MARKET ST
BANGOR, PA 18013
Northampton County (610) 452-9021
JESSICA WARNER LMT
Massage Therapist
32 MARKET ST
BANGOR, PA 18013
Northampton County (610) 452-9021
MRS. MARISSA SPENCER LMT
Massage Therapist
32 MARKET ST
BANGOR, PA 18013
Northampton County (610) 452-9021

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 Greenleaf Soft Tissue Therapy LLC's NPI number?

The NPI number for Greenleaf Soft Tissue Therapy LLC is 1942897459. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is Greenleaf Soft Tissue Therapy LLC located?

Greenleaf Soft Tissue Therapy LLC is located at 32 Market St, Bangor, PA 18013. The listed phone number is (610) 452-9021.

What is Greenleaf Soft Tissue Therapy LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Greenleaf Soft Tissue Therapy LLC was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.