NPIMap

Organization Active NPI

Elite Muscular Therapy

  • Point of Service
  • Vancouver, WA
National Provider Identifier
1265658876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MA00006985 Issued in WA
Legal business name
ELITE MUSCULAR THERAPY
Practice address
210 W.Evergreen Suite 500
Vancouver, WA 98660
Phone
(360) 693-3863
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Banks
Title
LNP
Phone
(360) 693-3863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MA00006985 WA Primary

Addresses

Primary practice location

210 W.Evergreen Suite 500
Vancouver, WA 98660

Mailing address

210 W.Evergreen Suite 500
Vancouver, WA 98660
Phone (360) 693-3863

National Provider Directory

National Provider Directory
Tax ID family
Elite Muscular Therapy2 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.

Locations

210 W Evergreen Blvd
Ste 500
Vancouver, WA 98660
Phone (360) 639-3863

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265658876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W.EVERGREEN SUITE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98660",
            "telephone_number": "360-693-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W.EVERGREEN SUITE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98660",
            "telephone_number": "360-693-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MUSCULAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "LNP",
        "authorized_official_telephone_number": "360-693-3863"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "MA00006985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.