Serena Teresa Amos, MASSAGE THERAPY

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00020812 Issued in WA

Practice address

3701 Colby Ave
Everett, WA 98201-4979

Phone

(425) 259-3700

NPI assigned

Feb 25, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Serena Teresa Baskerville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  NPD
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  • NPI 1780736116
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1124825575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CEDAR ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012535",
            "telephone_number": "208-513-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014979",
            "telephone_number": "425-259-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "SERENA",
        "middle_name": "TERESA",
        "credential": "MASSAGE THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "BASKERVILLE",
            "middle_name": "TERESA",
            "credential": "MASSAGE THERAPY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• American Labworks LLC
• Adjoavi Abaya Amevo
• Diana Amey, LMT, APMT
• Andrew Amirr
• Nadia Amjoun, CDPT
• Victoria Grace Amsbary
• Pati An, PT
• Katie Anacker
• Richard Gopez Ancheta, M.D.
• Anchorstone Community Collaborative

• Massage Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.