Active NPI
Elizabeth Conrad, LMT
- Massage Therapist
- Washington, DC
National Provider Identifier
1245897693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2503
- Practice address
- 3220 17TH St NW # 10
Washington, DC 20010-2135 - Phone
- (202) 436-1279
- NPI assigned
- May 21, 2019
- 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 | MT2503 | DC | Primary |
Addresses
Primary practice location
3220 17TH St NW # 10
Washington, DC 20010-2135
Mailing address
1660 Lanier PL NW Apt 206
Washington, DC 20009-2942
Phone (717) 870-5492
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 |
|---|---|---|---|
| MT2503 | DC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1245897693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 LANIER PL NW APT 206",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092942",
"telephone_number": "717-870-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 17TH ST NW # 10",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102135",
"telephone_number": "202-436-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT2503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.