Organization Active NPI

Frederick Reflexology LLC

Doing business as Frederick Reflexology

  • Reflexologist
  • Frederick, MD
National Provider Identifier
1083414858
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Legal business name
FREDERICK REFLEXOLOGY LLC
Doing business as
Frederick Reflexology
Practice address
129 13 West Patrick Street
Suite 2C
Frederick, MD 21701
Phone
(301) 732-1039
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Ms. Lara Lynn Roholt WestdorpNPI 1841012598
Title
Owner
Phone
(301) 732-1039

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
Reflexologist 173C00000X NU Primary

Addresses

Primary practice location

129 13 West Patrick Street
Suite 2C
Frederick, MD 21701

Mailing address

6640 Jefferson Blvd
Frederick, MD 21703-5816
Phone (301) 371-8556

Other names 1

  • Frederick Reflexology Doing business as

National Provider Directory

National Provider Directory

Locations

129 W Patrick St
Ste 2C
Frederick, MD 21701
Phone (301) 732-1039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1083414858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 JEFFERSON BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217035816",
            "telephone_number": "301-371-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 13 WEST PATRICK STREET",
            "address_2": "SUITE 2C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-732-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK REFLEXOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "WESTDORP",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "LYNN ROHOLT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-732-1039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Reflexology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.