NPIMap

Organization Active NPI

Monroe Therapeutic Massage, P.S.

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1376932004
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MONROE THERAPEUTIC MASSAGE, P.S.
Practice address
5236 California Ave SW Ste D
Seattle, WA 98136-1283
Phone
(206) 331-3999
Fax
(206) 338-3226
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Glyn Desmond
Title
President
Phone
(360) 863-0642

Specialties & licenses 1

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

Addresses

Primary practice location

5236 California Ave SW Ste D
Seattle, WA 98136-1283

Mailing address

101 E Main St Ste 201
Monroe, WA 98272-1519
Phone (360) 863-0642

Other names 1

  • M3 Bodyworks Massage Clinic Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 12

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": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1376932004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 201",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721519",
            "telephone_number": "360-863-0642",
            "fax_number": "360-794-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 CALIFORNIA AVE SW STE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361283",
            "telephone_number": "206-331-3999",
            "fax_number": "206-338-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE THERAPEUTIC MASSAGE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-863-0642"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M3 Bodyworks Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.