MOBILE MASSAGE, LLC (NPI# 1447679527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447679527 |
| Entity Type | Organization |
| Organization Name | MOBILE MASSAGE, LLC |
| Practice Address |
307 Maple Ave W Vienna VA 22180-4307 |
| Practice Telephone | 2407788187 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | WILLIAM QUELL PATRICK JR. (MASSAGE THERAPIST) |
| Authorized Official Telephone | 2407788187 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 0019011159 | VA | Managed Care Organizations |
| Street Address |
307 MAPLE AVE W |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777387 | Fernando Jose Meza | Dentist | 307 Maple Ave W, Suite H, Vienna, VA 22180-4307 | 2006-02-01 |
| 1437684263 | Pham, Biga & Maloney, Pllc | Dentist | 307 Maple Ave W, Suite M, Vienna, VA 22180-4307 | 2017-04-30 |
| 1336549153 | Nabil G Bishara | Dentist | 307 Maple Ave W, Vienna, VA 22180-4307 | 2014-08-28 |
| 1124322169 | Rudolph & Paino Dds Pllc | Clinic/Center | 307 Maple Ave W, Suite A, Vienna, VA 22180-4307 | 2011-01-05 |
| 1861705972 | Joyce P. Hair, M.d. Ltd. | Clinic/Center | 307 Maple Ave W, Suite C, Vienna, VA 22180-4307 | 2010-07-18 |
| 1457682445 | Andrew Youngho Kim | Dentist | 307 Maple Ave W, Suit M, Vienna, VA 22180-4307 | 2010-01-15 |
| 1558505537 | Stephen Ralph Bradley | Dentist | 307 Maple Ave W, Suite G, Vienna, VA 22180-4307 | 2009-04-22 |
| 1437365228 | Tanya Dee Mouchahoir | Dentist | 307 Maple Ave W, Suite A, Vienna, VA 22180-4307 | 2007-05-16 |
| 1790868776 | David Richard Rogowski | Dentist | 307 Maple Ave W, Suite M, Vienna, VA 22180-4307 | 2006-10-23 |
| 1699855221 | Barry S Rudolph | Dentist | 307 Maple Ave W, Suite A, Vienna, VA 22180-4307 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
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| 1831674365 | Mjl Contractors Inc | Point of Service | 31 Friendly Ct Ste 105, Fredericksburg, VA 22405-2564 | 2018-10-01 |
| 1578060620 | Taylor Construction Services Heating & Air Conditioning, Inc. | Point of Service | 8500 Perrymont Rd, North Chesterfield, VA 23237-2817 | 2018-04-06 |
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| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1366812224 | First Choice Counseling Services, LLC | Point of Service | 2025 E Main St Ste 104, Richmond, VA 23223-7072 | 2015-10-04 |
| 1447634910 | Health & Balance Chiropractic Clinic, LLC | Point of Service | 17 S Randolph St, A, Lexington, VA 24450-2526 | 2015-07-15 |
| 1356730550 | Heart2heart Companion LLC | Point of Service | 14824 Flour Mill Ct, Midlothian, VA 23112-4255 | 2015-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.