Individual provider Active NPI

Andrew L Carr, RMT

  • Massage Therapist
  • Alexandria, VA
National Provider Identifier
1093005191
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT124 Issued in DC
Practice address
6058B Essex House SQ
Alexandria, VA 22310-4315
Phone
(703) 582-5115
Fax
(202) 450-2857
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT124 DC Primary
Massage Therapist 225700000X 0019002576 VA

Addresses

Primary practice location

6058B Essex House SQ
Alexandria, VA 22310-4315

Mailing address

6058B Essex House SQ
Alexandria, VA 22310-4315
Phone (703) 582-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT124DCMDMassage Therapist
0019002576VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Massage Inc. Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1093005191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058B ESSEX HOUSE SQ",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223104315",
            "telephone_number": "703-582-5115",
            "fax_number": "202-450-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058B ESSEX HOUSE SQ",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223104315",
            "telephone_number": "703-582-5115",
            "fax_number": "202-450-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT124",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019002576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.