Active NPI
Angela Marie, LMT
- Massage Therapist
- Bumpass, VA
National Provider Identifier
1235735309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019012674
- Practice address
- 131 Covenant Way
Bumpass, VA 23024-4618 - Phone
- (571) 685-9867
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 0019012674 | VA | Primary |
Addresses
Primary practice location
131 Covenant Way
Bumpass, VA 23024-4618
Mailing address
514 Americas Way
Box Elder, SD 57719-7600
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 |
|---|---|---|---|
| 0019012674 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1235735309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 AMERICAS WAY",
"city": "BOX ELDER",
"state": "SD",
"postal_code": "577197600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 COVENANT WAY",
"city": "BUMPASS",
"state": "VA",
"postal_code": "230244618",
"telephone_number": "571-685-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIE",
"first_name": "ANGELA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019012674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bumpass, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.