Individual provider Active NPI

Ivor Conrad Young, MT

  • Massage Therapist
  • Greenbelt, MD
National Provider Identifier
1235943408
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
7701 Greenbelt Rd Ste 104
Greenbelt, MD 20770-6504
Phone
(301) 798-9188
Fax
(240) 261-7229
NPI assigned
Feb 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 Primary

Addresses

Primary practice location

7701 Greenbelt Rd Ste 104
Greenbelt, MD 20770-6504

Mailing address

8311 Osage Ter
Adelphi, MD 20783-1758
Phone (240) 593-3722

Other practice location 1

8311 Osage Ter
Adelphi, MD 20783-1758
Phone (240) 593-3722

Other practice location 2

2045 University Blvd E Ste 202
Hyattsville, MD 20783-4137
Phone (301) 723-7727

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

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1235943408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 OSAGE TER",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831758",
            "telephone_number": "240-593-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 GREENBELT RD STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706504",
            "telephone_number": "301-798-9188",
            "fax_number": "240-261-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8311 Osage Ter",
            "address_purpose": "LOCATION",
            "city": "Adelphi",
            "state": "MD",
            "postal_code": "207831758",
            "country_code": "US",
            "telephone_number": "240-593-3722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 University Blvd E Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207834137",
            "country_code": "US",
            "telephone_number": "301-723-7727",
            "fax_number": "240-261-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "IVOR",
        "middle_name": "CONRAD",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.