Elisha Mincey, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M06708 Issued in MD

Practice address

10903 Indian Head Hwy Ste 502
Fort Washington, MD 20744-4012

Phone

(240) 462-4770

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1275340341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 502",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "telephone_number": "240-462-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 502",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "telephone_number": "240-462-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCEY",
        "first_name": "ELISHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M06708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Meyer, MD
• Zishan A Michael, DDS
• Natalia Midler, M.AC., L.AC.
• Katina Byrd Miles, M.D.
• Chrystal R Mincey
• Mind Over Chatter
• Angela Marie Minor
• Amir Mirzaalikhani, M.D.
• Mmtherapy&Consulting LLC
• Meredith Rose Moeller, RD, LDN

• Massage Therapist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.