Performance Bodywork LLC
NPI 1811302607 · Massage Therapist · Portland, OR
Performance Bodywork LLC is a Massage Therapist organization in Portland, OR (NPI 1811302607).
Provider details
- NPI number
- 1811302607
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Casey Holliman, President(503) 568-1390
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Acupuncturist171100000X
Other Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Surge Wellness
Additional practice locations (2)
- 10029 Sw Nimbus Ave Ste 230Beaverton, OR 97008-7110Phone: (503) 372-6035Fax: (503) 296-2170
- 11786 Nw Cedar Falls Dr Ste 220Portland, OR 97229-2787Phone: (503) 530-8839
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Frequently asked questions
- What is Performance Bodywork LLC's NPI number?
- Performance Bodywork LLC's National Provider Identifier (NPI) is 1811302607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Performance Bodywork LLC?
- Performance Bodywork LLC is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Performance Bodywork LLC located?
- Performance Bodywork LLC's practice location on file with NPPES is 2188 Sw Park Pl, Portland, OR 97205-1100.
- What is Performance Bodywork LLC's phone number?
- The practice phone number listed in the NPPES registry for Performance Bodywork LLC is (503) 568-1390.
- Who is the authorized official for Performance Bodywork LLC?
- The authorized official listed on Performance Bodywork LLC's NPPES record is Casey Holliman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Performance Bodywork LLC's NPI active?
- Yes — Performance Bodywork LLC's NPI (1811302607) is active in the NPPES registry as of the last update on 2024-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.