Active NPI
Ryan Marino, LMP
- Mechanotherapist
- Bellingham, WA
National Provider Identifier
1679960215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 60199623
- Practice address
- 1002 11TH St Apt 4
Bellingham, WA 98225-6642 - Phone
- (206) 450-1605
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 60199623 | WA | Primary |
Addresses
Primary practice location
1002 11TH St Apt 4
Bellingham, WA 98225-6642
Mailing address
1002 11TH St Apt 4
Bellingham, WA 98225-6642
Phone (206) 450-1605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60199623 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1679960215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 11TH ST APT 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256642",
"telephone_number": "206-450-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 11TH ST APT 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256642",
"telephone_number": "206-450-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "RYAN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "60199623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.