Individual provider Active NPI

Osmarina V. Santana, LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1861528069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006448 Issued in WA
Practice address
4610 200TH St SW Ste N
Lynnwood, WA 98036-6606
Phone
(425) 712-0852
Fax
(425) 712-9854
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00006448 WA Primary

Addresses

Primary practice location

4610 200TH St SW Ste N
Lynnwood, WA 98036-6606

Mailing address

1151 N 94TH St Apt 37
Seattle, WA 98103-3361
Phone (206) 729-2319

Other identifiers 1

IdentifierTypeStateIssuer
MA00006448OtherWALMP

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

LicenseStateTypeSpecialty
MA00006448WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myopathic Muscular Therapy Clinic, Inc. Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861528069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N 94TH ST APT 37",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033361",
            "telephone_number": "206-729-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW STE N",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-712-0852",
            "fax_number": "425-712-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "OSMARINA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA00006448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.