NPIMap

Organization Active NPI

Monroe Therapeutic Massage PS

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1184830804
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MONROE THERAPEUTIC MASSAGE PS
Practice address
1611 116TH Ave NE
Ste 200
Bellevue, WA 98004-3064
Phone
(425) 455-0088
Fax
(425) 455-0340
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Glyn Desmond, LMP
Title
President
Phone
(425) 802-1382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1611 116TH Ave NE
Ste 200
Bellevue, WA 98004-3064

Mailing address

1611 116TH Ave NE
Ste 200
Bellevue, WA 98004-3064
Phone (425) 455-0088

National Provider Directory

National Provider Directory
Tax ID family
Monroe Therapeutic Massage PS11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1611 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 455-0088

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1184830804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE",
            "address_2": "STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043064",
            "telephone_number": "425-455-0088",
            "fax_number": "425-455-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE",
            "address_2": "STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043064",
            "telephone_number": "425-455-0088",
            "fax_number": "425-455-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE THERAPEUTIC MASSAGE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-802-1382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.