Active NPI
Casey O'Neal, RMP
- Massage Therapist
- Columbia, MD
National Provider Identifier
1235887258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M05874
- Practice address
- 7130 Minstrel Way Ste 160
Columbia, MD 21045-5336 - Phone
- (410) 312-9922
- Fax
- (410) 312-9923
- NPI assigned
- Mar 17, 2022
- 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 | M05874 | MD | Primary |
Addresses
Primary practice location
7130 Minstrel Way Ste 160
Columbia, MD 21045-5336
Mailing address
7130 Minstrel Way Ste 160
Columbia, MD 21045-5336
Phone (410) 312-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M05874 | Other | MD | LICENSED MASSAGE THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | casey@awakenwellnesscolumbia.com |
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 |
|---|---|---|---|
| M05874 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awaken Wellness, LLC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1235887258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 MINSTREL WAY STE 160",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455336",
"telephone_number": "410-312-9922",
"fax_number": "410-312-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 MINSTREL WAY STE 160",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455336",
"telephone_number": "410-312-9922",
"fax_number": "410-312-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "CASEY",
"credential": "RMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MD",
"license": "M05874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "M05874",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "casey@awakenwellnesscolumbia.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "7130 Minstrel Way Ste 160",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210455336",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.