NPIMap

Organization Active NPI

MVP Fitness and Massage

  • Massage Therapist
  • Upper Marlboro, MD
National Provider Identifier
1114429768
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MVP FITNESS AND MASSAGE
Practice address
11604 Bronco CT
Upper Marlboro, MD 20772-2985
Phone
(202) 302-4081
NPI assigned
Feb 28, 2018
Last updated
Feb 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Malik VanterpoolNPI 1275949513
Title
Ceo
Phone
(202) 302-4081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X

Addresses

Primary practice location

11604 Bronco CT
Upper Marlboro, MD 20772-2985

Mailing address

11604 Bronco CT
Upper Marlboro, MD 20772-2985

National Provider Directory

National Provider Directory
Tax ID family
MVP Fitness and Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1114429768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 BRONCO CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 BRONCO CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722985",
            "telephone_number": "202-302-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP FITNESS AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "VANTERPOOL",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-302-4081"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.