Organization Active NPI

Optimal Medical Massage

  • Massage Therapist
  • Mount Vernon, WA
National Provider Identifier
1609797570
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
OPTIMAL MEDICAL MASSAGE
Practice address
825 Cleveland Ave
Mount Vernon, WA 98273-4210
Phone
(360) 450-5000
NPI assigned
Jul 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Angelica Marin, LMTNPI 1518565332
Title
Owner/Massage Therapist
Phone
(360) 333-2409

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

825 Cleveland Ave
Mount Vernon, WA 98273-4210

Mailing address

1612 N 26TH St Apt 110
Mount Vernon, WA 98273-6427
Phone (360) 420-8770

Other practice location 1

16201 25th Ave W
Lynnwood, WA 98087-2520
Phone (360) 333-2409

National Provider Directory

National Provider Directory

Locations

825 Cleveland Ave
Mount Vernon, WA 98273
Phone (360) 333-2409

Practitioners & affiliated clinicians

Practitioners 2

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": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1609797570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N 26TH ST APT 110",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982736427",
            "telephone_number": "360-420-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734210",
            "telephone_number": "360-450-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 25th Ave W",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980872520",
            "country_code": "US",
            "telephone_number": "360-333-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-333-2409",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.