Avery Mardis, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0024667 Issued in CO

Practice address

12380 W 64TH Ave
Arvada, CO 80004-4016

Phone

(303) 467-5337

NPI assigned

Jan 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Locations

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.

• Calm Spirit Integrative Wellness Inc.

  • Acupuncturist
  • Arvada, CO
  • NPI 1245272673

  Single Specialty

  NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1902519911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151257",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802159257",
            "telephone_number": "765-265-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044016",
            "telephone_number": "303-467-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIS",
        "first_name": "AVERY",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0024667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "jane",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "address_1": "12380 W 64th Ave",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800044016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manual Therapy Associates, Inc
• Erin Manzolillo, NP
• Zachary G Maple, MA, LPC, BCBA
• Kaitlin M Mar, MD
• Marathon Health, LLC
• Madeleine Margolis, PT, DPT
• Siglinda R Marlin, APN
• Alycia Marshall
• Elizabeth Martens
• Kylie Ann Martens

• Massage Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.