Anthony Louis Mavros, LPM, MMP, NCTM

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023180 Issued in WA

Practice address

14500 Juanita Dr NE
Kenmore, WA 98028-4966

Phone

(425) 205-9893

NPI assigned

Mar 31, 2009

Last updated

Jul 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1437391919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 NE 140TH PL",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115306",
            "telephone_number": "425-205-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "425-205-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROS",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "credential": "LPM, MMP, NCTM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Manniello, ND
• Michael Christopher Manning, ND
• Lauren Ashley Marasigan, CPM, MSM
• Katherine Emily Martin, N.D.
• Christiana Maia Matthews, DC
• Caitlin Mayotte, L.AC., EAMP
• Scott Arthur McClave
• Connor Tristram McClellan, VA 30175052
• Kelly McConnaughey
• Diana Lee McFarland, OD

• Massage Therapist in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.