Active NPI
Beshoy F Iprahim
- Massage Therapist
- Herndon, VA
National Provider Identifier
1306484647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019016861
- Practice address
- 312 Victory Dr
Herndon, VA 20170-5216 - Phone
- (703) 705-9559
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- Sex
- Male
- 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 | 0019016861 | VA | Primary |
Addresses
Primary practice location
312 Victory Dr
Herndon, VA 20170-5216
Mailing address
3938 Lincolnshire St
Annandale, VA 22003-2520
Phone (571) 250-9738
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 |
|---|---|---|---|
| 0019016861 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1306484647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 LINCOLNSHIRE ST",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032520",
"telephone_number": "571-250-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 VICTORY DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705216",
"telephone_number": "703-705-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPRAHIM",
"first_name": "BESHOY",
"middle_name": "F",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019016861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.