Individual provider Active NPI

Judah Yoda

  • Massage Therapist
  • Waldorf, MD
National Provider Identifier
1225945587
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M07219 Issued in MD
Practice address
2909 Halifax St
Waldorf, MD 20603-5708
Phone
(240) 672-5210
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X M07219 MD Primary

Addresses

Primary practice location

2909 Halifax St
Waldorf, MD 20603-5708

Mailing address

2909 Halifax St
Waldorf, MD 20603-5708
Phone (240) 672-5210

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1225945587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HALIFAX ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035708",
            "telephone_number": "240-672-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HALIFAX ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035708",
            "telephone_number": "240-672-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODA",
        "first_name": "JUDAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M07219",
            "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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.