Active NPI
Victoria Johnson, CMT
- Massage Therapist
- Manassas, VA
National Provider Identifier
1306137757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019008499
- Practice address
- 8238 Ramseur PL
Manassas, VA 20109-1905 - Phone
- (571) 313-9069
- NPI assigned
- Apr 20, 2011
- 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 | 0019008499 | VA | Primary |
Addresses
Primary practice location
8238 Ramseur PL
Manassas, VA 20109-1905
Mailing address
8238 Ramseur Place
Manassas, VA 20109-1905
Phone (571) 313-9069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580734-09 | Other | VA | NCBTMB |
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 |
|---|---|---|---|
| 0019008499 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1306137757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8238 RAMSEUR PLACE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201091905",
"telephone_number": "571-313-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8238 RAMSEUR PL",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201091905",
"telephone_number": "571-313-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019008499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBTMB",
"identifier": "580734-09",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.