Organization Active NPI

Mythology Aesthetics, LLC

  • Medical Specialty Clinic/Center
  • Braintree, MA
National Provider Identifier
1023872801
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MYTHOLOGY AESTHETICS, LLC
Practice address
10 Forbes Rd Ste 172E
Braintree, MA 02184-2605
Phone
(781) 795-9595
Fax
(781) 494-0236
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Blathras, NPNPI 1336902725
Title
Owner/Manager
Phone
(781) 795-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

10 Forbes Rd Ste 172E
Braintree, MA 02184-2605

Mailing address

10 Forbes Rd Ste 172E
Braintree, MA 02184-2605
Phone (781) 795-9595

National Provider Directory

National Provider Directory

Locations

10 Forbes Rd
Ste 172E
Braintree, MA 02184
Phone (781) 795-9595

25 Adams St
Ste 100
Braintree, MA 02184
Phone (781) 795-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1023872801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FORBES RD STE 172E",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842605",
            "telephone_number": "781-795-9595",
            "fax_number": "781-424-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORBES RD STE 172E",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842605",
            "telephone_number": "781-795-9595",
            "fax_number": "781-494-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHOLOGY AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "BLATHRAS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "781-795-9595",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.