Active NPI
Myopathic Muscular Therapy Clinic, Inc.
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1457483216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Osmarina V. Santana, LMP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- Lynnwood, WA
- NPI 1861528069
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.