Active NPI
Marcus Eric Bostic, LMT
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1295625481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NVMT.11938
- Practice address
- 9620 Las Vegas Blvd S Ste E3
Las Vegas, NV 89123-6508 - Phone
- (702) 763-7377
- NPI assigned
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NVMT.11938 | NV | Primary |
Addresses
Primary practice location
9620 Las Vegas Blvd S Ste E3
Las Vegas, NV 89123-6508
Mailing address
10474 Bar Harbor St
Las Vegas, NV 89141-7337
Phone (513) 382-0038
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
| License | State | Type | Specialty |
|---|---|---|---|
| NVMT.11938 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1295625481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10474 BAR HARBOR ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891417337",
"telephone_number": "513-382-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9620 LAS VEGAS BLVD S STE E3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891236508",
"telephone_number": "702-763-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTIC",
"first_name": "MARCUS",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT.11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.