Active NPI
Abby Xiao, LMT
- Massage Therapist
- Rockville, MD
National Provider Identifier
1174361745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M06630
- Practice address
- 1063 Rockville Pike
Rockville, MD 20852-1403 - Phone
- (240) 669-6453
- NPI assigned
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M06630 | MD | Primary |
Addresses
Primary practice location
1063 Rockville Pike
Rockville, MD 20852-1403
Mailing address
1063 Rockville Pike
Rockville, MD 20852-1403
Phone (240) 669-6453
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 |
|---|---|---|---|
| M06630 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ageless Health Spa LLC | Single Specialty | Current | Accepting new patients |
Locations
1063 Rockville Pike
Rockville, MD 20852
Phone (240) 669-6453
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": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1174361745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521403",
"telephone_number": "240-669-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521403",
"telephone_number": "240-669-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIAO",
"first_name": "ABBY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MD",
"license": "M06630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.