NPIMap

Organization Active NPI

Renewed Being

  • Massage Therapist
  • Elkridge, MD
National Provider Identifier
1013376037
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05380 Issued in MD
Legal business name
RENEWED BEING
Practice address
5735 Rowanberry Dr Apt 212
Elkridge, MD 21075-5412
Phone
(410) 234-2050
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Kenneth Rodney WashingtonNPI 1003275785
Title
LMT
Phone
(443) 913-2074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X M05380 MD Primary

Addresses

Primary practice location

5735 Rowanberry Dr Apt 212
Elkridge, MD 21075-5412

Mailing address

6030 Marshalee Dr # 677
Elkridge, MD 21075-5987

National Provider Directory

National Provider Directory

Locations

6030 Marshalee Dr
#677
Elkridge, MD 21075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1013376037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR # 677",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 ROWANBERRY DR APT 212",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755412",
            "telephone_number": "410-234-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED BEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "443-913-2074"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.