Organization Active NPI

Federal Way Muscular Therapy

  • Specialist
  • Federal Way, WA
National Provider Identifier
1285714790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00006298 Issued in WA
Legal business name
FEDERAL WAY MUSCULAR THERAPY
Practice address
900 S 336TH St
Federal Way, WA 98003-6311
Phone
(253) 942-3303
Fax
(253) 815-8805
NPI assigned
Oct 17, 2006
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
Mr. Mauri Frederick Fromm, LMPNPI 1982753869
Title
President
Phone
(253) 942-3303

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00006298 WA Primary

Addresses

Primary practice location

900 S 336TH St
Federal Way, WA 98003-6311

Mailing address

900 S 336TH St
Federal Way, WA 98003-6311
Phone (253) 942-3303

National Provider Directory

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285714790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036311",
            "telephone_number": "253-942-3303",
            "fax_number": "253-815-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036311",
            "telephone_number": "253-942-3303",
            "fax_number": "253-815-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL WAY MUSCULAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROMM",
        "authorized_official_first_name": "MAURI",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-942-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00006298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, 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.