Lee Anne Blank, LMT, RYT200

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M02823 Issued in MD

Practice address

966 Hungerford Dr Ste 21a
Rockville, MD 20850-1741

Phone

(301) 762-0564

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1275027484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 EDMONSTON DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511040",
            "telephone_number": "301-762-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR STE 21A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501741",
            "telephone_number": "301-762-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "LEE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMT, RYT200",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M02823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MASSAGE LICENSE",
            "identifier": "M02823",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berenice Blanco
• Amarra Bland
• Shanika Blandon
• Tarrica Blaney
• Lawrence W Blank, DDS
• Susan Adell Blankenbaker, LCSW-C
• Bridget Blankson
• Ebony Blanton
• Karen Blanton
• Brandie Leigh Blassingame, OTR/L

• Massage Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.