NPIMap

Organization Active NPI

Monroe Therapeutic Massage, P.S.

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1891113528
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MONROE THERAPEUTIC MASSAGE, P.S.
Practice address
21605 76TH Ave W
Edmonds, WA 98026-7514
Phone
(425) 814-8300
NPI assigned
Mar 31, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Mr. Glyn Desmond, LMPNPI 1023233814
Title
President
Phone
(425) 802-1382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

21605 76TH Ave W
Edmonds, WA 98026-7514

Mailing address

11911 NE 132ND St
Ste 101
Kirkland, WA 98034-2900
Phone (425) 814-8300

National Provider Directory

National Provider Directory
Tax ID family
Monroe Therapeutic Massage PS11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1891113528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 NE 132ND ST",
            "address_2": "STE 101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342900",
            "telephone_number": "425-814-8300",
            "fax_number": "425-814-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267514",
            "telephone_number": "425-814-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE THERAPEUTIC MASSAGE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-802-1382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.