Active NPI
Mary Elizabeth D'Amato, LMT
- Contractor
- Burtonsville, MD
National Provider Identifier
1134442437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- M04152
- Practice address
- 3905 National Dr
Suite 375
Burtonsville, MD 20866-1100 - Phone
- (301) 476-7575
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | M04152 | MD | Primary |
Addresses
Primary practice location
3905 National Dr
Suite 375
Burtonsville, MD 20866-1100
Mailing address
14121 Bauer Dr
Rockville, MD 20853-2120
Phone (240) 418-8454
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 |
|---|---|---|---|
| M04152 | MD | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Block Chiropractic and Rehabilitation Center, LLC | 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.
-
- Chiropractor
- Burtonsville, MD
- NPI 1508015793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1134442437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14121 BAUER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532120",
"telephone_number": "240-418-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 NATIONAL DR",
"address_2": "SUITE 375",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661100",
"telephone_number": "301-476-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMATO",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MD",
"license": "M04152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.