Individual provider Active NPI

Amorsolo O Paraso Jr., LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1245355585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013127 Issued in WA
Practice address
3501 Shelby Rd Ste C
Lynnwood, WA 98087-3599
Phone
(425) 745-9052
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00013127 WA Primary

Addresses

Primary practice location

3501 Shelby Rd Ste C
Lynnwood, WA 98087-3599

Mailing address

15815 Admiralty Way
Lynnwood, WA 98087-6232
Phone (206) 491-6945

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

LicenseStateTypeSpecialty
MA00013127WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Lake Massage Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245355585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 ADMIRALTY WAY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876232",
            "telephone_number": "206-491-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599",
            "telephone_number": "425-745-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASO",
        "first_name": "AMORSOLO",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, 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.

Verify at the official NPI Registry.