Eddie Dean Anzalone, MA60756602

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60756602 Issued in WA

Practice address

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

Phone

(360) 604-1226

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breathe Yoga and Massage, LLC

  • Mechanotherapist
  • Vancouver, WA
  • NPI 1740561752
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1841718178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SW 20TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043032",
            "telephone_number": "707-771-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514",
            "telephone_number": "360-604-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALONE",
        "first_name": "EDDIE",
        "middle_name": "DEAN",
        "credential": "MA60756602",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60756602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Antonelli
• Mark Anuchin, LD
• Anunciado Enterprises PC (360 Physical Therapy)
• Dwight Anunciado, MSPT
• Onyekachi Anya
• David Aoki, CO
• Jan M Apland-Curtis
• Brian Keith Apling, A.T.,C.
• Angela Lynne Aponte-Reid, R.N.
• Samantha Apple, LMP

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.