Active NPI
Marina Afanasevna Kvasov, L.M.P.
- Massage Therapist
- Spokane Valley, WA
National Provider Identifier
1083816847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00018933
- Practice address
- 100 N Mullan
Spokane Valley, WA 99206 - Phone
- (509) 777-2225
- Fax
- (509) 777-2227
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00018933 | WA | Primary |
Addresses
Primary practice location
100 N Mullan
Spokane Valley, WA 99206
Mailing address
P.O. Box 14001
Spokane Valley, WA 99214
Phone (509) 389-7584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395744-00 | Other | WA | NCBTMB CERTIFICATE |
| MA00018933 | Other | WA | MASSAGE LICENSE |
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 |
|---|---|---|---|
| MA00018933 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whalen Family Chiropractic Center | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083816847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 14001",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99214",
"telephone_number": "509-389-7584",
"fax_number": "509-777-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MULLAN",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99206",
"telephone_number": "509-777-2225",
"fax_number": "509-777-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVASOV",
"first_name": "MARINA",
"middle_name": "AFANASEVNA",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00018933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBTMB CERTIFICATE",
"identifier": "395744-00",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "MA00018933",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, 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.