MVP Fitness and Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MVP FITNESS AND MASSAGE

Practice address

11604 Bronco CT
Upper Marlboro, MD 20772-2985

Phone

(202) 302-4081

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Malik Vanterpool

Title

Ceo

Phone

(202) 302-4081

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

MVP Fitness and Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MVP Fitness and Massage

  • Massage Therapist
  • Upper Marlboro, MD
  • NPI 1114429768
  NPD tax ID

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1649785676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 BRONCO CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722985",
            "telephone_number": "202-302-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 BRONCO CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722985",
            "telephone_number": "202-302-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP FITNESS AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "VANTERPOOL",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-302-4081"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045878800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatmata M Musa
• Janet Musa
• Tina Musa
• Silifat Mustapha, PHD
• MVP Fitness and Massage
• Myafa Inc.
• Maryam Nabavi, DDS
• Mariam Fateema-Am Nabay
• Zainab Nahim
• Joan Nahjela Epse Wiryen

• Massage Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.