Individual provider Active NPI

Arrion Mikael Holt, MT

  • Massage Therapist
  • Waldorf, MD
National Provider Identifier
1225910508
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019013306 Issued in VA
Practice address
1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758
Phone
(410) 934-0580
Fax
(410) 834-1217
NPI assigned
Jul 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 0019013306 VA Primary

Addresses

Primary practice location

1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758

Mailing address

1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758
Phone (410) 934-0580

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
0019013306VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Alkaline Life, LLC Single Specialty CurrentSince Jul 28, 2025 Accepting new patients
One Alkaline Life LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1036 Saint Nicholas Dr
Unit 102
Waldorf, MD 20603
Phone (410) 934-0580

Organizations & group practices 2

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1225910508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SAINT NICHOLAS DR UNIT 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034758",
            "telephone_number": "410-934-0580",
            "fax_number": "410-834-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SAINT NICHOLAS DR UNIT 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034758",
            "telephone_number": "410-934-0580",
            "fax_number": "410-834-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ARRION",
        "middle_name": "MIKAEL",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019013306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.