Active NPI
Andrew L Carr, RMT
- Massage Therapist
- Alexandria, VA
National Provider Identifier
1093005191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT124 | DC | MD | Massage Therapist |
| 0019002576 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.