MICHAEL MUGNOLO (NPI# 1336603521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336603521 |
| Entity Type | Individual |
| Full Name | MICHAEL MUGNOLO |
| Credential | CMT, LMT |
| Practice Address |
307 Maple Ave W Ste L Vienna VA 22180-4307 |
| Practice Telephone | 7036721613 |
| Mailing Telephone | 7036721613 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019014199 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
307 MAPLE AVE W STE L |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370842 | Waterfalls Wellness Center LLC | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-25 |
| 1396209565 | Elisa C Cruz | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-22 |
| 1609330877 | Brandon Orlando Williams | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-22 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836531 | Feeling Great, LLC | Massage Therapist | 370 Maple Ave W Ste 2, Vienna, VA 22180-5615 | 2020-03-16 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1184926826 | Sacred Lotus Acupuncture, LLC | Massage Therapist | 2106 Gallows Rd Ste E2, Vienna, VA 22182-3961 | 2010-12-01 |
| 1982839825 | Christy Fleming | Massage Therapist | 1605 Grand Central Avenue, Vienna, WV 26105-1081 | 2009-05-21 |
| 1952449779 | Mary E. Torrey | Massage Therapist | 119 Tapawingo Rd Sw, Vienna, VA 22180-5964 | 2007-02-02 |
| 1003370842 | Waterfalls Wellness Center LLC | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-25 |
| 1396209565 | Elisa C Cruz | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-22 |
| 1609330877 | Brandon Orlando Williams | Massage Therapist | 307 Maple Ave W Ste L, Vienna, VA 22180-4307 | 2019-01-22 |
| 1598233140 | Yully Ludena | Massage Therapist | 2102 Gallows Rd # C, Vienna, VA 22182-3960 | 2018-11-12 |
| 1407333677 | Karen Ann Hedlund | Massage Therapist | 115 Beulah Rd Ne Ste 200b, Vienna, VA 22180-4780 | 2018-07-20 |
| Find all providers in VIENNA | ||||
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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.