Active NPI
Laura Lopez Rodriguez I, LMT
- Massage Therapist
- Washington, DC
National Provider Identifier
1306404934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2167
- Practice address
- 3701 Connecticut Ave NW
Washington, DC 20008-4556 - Phone
- (240) 601-4771
- NPI assigned
- May 29, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M04890 | MD | |
| Massage Therapist | 225700000X | 0019011796 | VA | |
| Massage Therapist | 225700000X | MT2167 | DC | Primary |
Addresses
Primary practice location
3701 Connecticut Ave NW
Washington, DC 20008-4556
Mailing address
8409 New Hampshire Ave
Hyattsville, MD 20783-2420
Phone (240) 601-4771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019011796 | Other | VA | BOARD OF NURSING |
| MT2167 | Other | DC | BOARD OF MASSAGE |
| M04890 | Other | MD | BOARD OF CHIROPRACTORS |
Other names 1
- N/a N/a
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 |
|---|---|---|---|
| MT2167 | DC | MD | Massage Therapist |
| M04890 | MD | MD | Massage Therapist |
| 0019011796 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1306404934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 NEW HAMPSHIRE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207832420",
"telephone_number": "240-601-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200084556",
"telephone_number": "240-601-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ RODRIGUEZ",
"first_name": "LAURA",
"name_suffix": "I",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04890",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019011796",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT2167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "0019011796",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MASSAGE",
"identifier": "MT2167",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CHIROPRACTORS",
"identifier": "M04890",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}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 29, 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.