Organization Active NPI

Myopathic Muscular Therapy Clinic, Inc.

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1457483216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MYOPATHIC MUSCULAR THERAPY CLINIC, INC.
Practice address
4610 200TH St SW
Suite # N
Lynnwood, WA 98036-6606
Phone
(425) 712-0852
Fax
(425) 712-0854
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Osmarina V. Santana, LMPNPI 1861528069
Title
President
Phone
(425) 712-0852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

4610 200TH St SW
Suite # N
Lynnwood, WA 98036-6606

Mailing address

4610 200TH St SW
Suite # N
Lynnwood, WA 98036-6606
Phone (425) 712-0852

Other names 1

  • Myopathic Muscular Therapy clinic Other name

National Provider Directory

National Provider Directory

Locations

4610 200th St SW
Ste N
Lynnwood, WA 98036
Phone (425) 712-0852

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457483216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW",
            "address_2": "SUITE # N",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-712-0852",
            "fax_number": "425-712-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW",
            "address_2": "SUITE # N",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-712-0852",
            "fax_number": "425-712-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOPATHIC MUSCULAR THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "OSMARINA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-712-0852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myopathic Muscular Therapy clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynnwood, 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.