Khin Maythu Gardner

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019019772 Issued in VA

Practice address

1980 Gallows Rd
Vienna, VA 22182-3913

Phone

(703) 323-5691

Fax

(703) 323-5692

NPI assigned

Aug 23, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1003649013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ALASKA CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913641",
            "telephone_number": "631-796-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823913",
            "telephone_number": "703-323-5691",
            "fax_number": "703-323-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8133 Leesburg Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822706",
            "country_code": "US",
            "telephone_number": "631-796-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KHIN",
        "middle_name": "MAYTHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019019772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Damon Gantsoudes, MD
• Allen S Garai, DDS
• William John Garcia, M.D.
• Jason Gardenier
• Setara Gardezi
• Erin Garland
• Courtney Garofolo
• Hunter Garrett, PMHNP-BC
• Sanaa Gasmelsied, L.AC
• Gateway 4 ABA

• Massage Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; 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.