Active NPI
Arin M D'Avino, LMP
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1003952789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00017852
- Practice address
- 4519 SE Mile Hill Dr
Suite a
Port Orchard, WA 98366-3909 - Phone
- (360) 871-5200
- Fax
- (360) 871-5350
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00017852 | WA | Primary |
Addresses
Primary practice location
4519 SE Mile Hill Dr
Suite a
Port Orchard, WA 98366-3909
Mailing address
PO Box 525
Port Orchard, WA 98366-0525
Phone (360) 871-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00017852 | Other | WA | LMP LICENSE |
| 0169804 | Other | WA | LABOR AND INDUSTRIES |
| 91-1180427-10 | Other | WA | KPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00017852 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Hill Chiropractic | Past | Accepting new patients | |
| Middendorf Chiropractic PS | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Port Orchard, WA
- NPI 1134514656
-
- Chiropractor
- Port Orchard, WA
- NPI 1073666780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003952789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 525",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983660525",
"telephone_number": "360-871-5200",
"fax_number": "360-871-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 SE MILE HILL DR",
"address_2": "SUITE A",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663909",
"telephone_number": "360-871-5200",
"fax_number": "360-871-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AVINO",
"first_name": "ARIN",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00017852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMP LICENSE",
"identifier": "MA00017852",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0169804",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS",
"identifier": "91-1180427-10",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.