Active NPI
Kimberly Bazemore
- Massage Therapist
- Rockville, MD
National Provider Identifier
1336059658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M06330
- Practice address
- 1170 Rockville Pike
Rockville, MD 20852-1408 - Phone
- (301) 641-9907
- NPI assigned
- Sep 9, 2026
- Last updated
- Sep 9, 2026
- 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 | M06330 | MD | Primary |
Addresses
Primary practice location
1170 Rockville Pike
Rockville, MD 20852-1408
Mailing address
14053 Byrne Park Dr
Clarksburg, MD 20871-6335
Phone (301) 641-9907
Other practice location 1
6917 Arlington Rd Ste G2
Bethesda, MD 20814-5211
Phone (301) 701-6046
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1336059658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14053 BYRNE PARK DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208716335",
"telephone_number": "301-641-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521408",
"telephone_number": "301-641-9907"
}
],
"practiceLocations": [
{
"address_1": "6917 Arlington Rd Ste G2",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208145211",
"country_code": "US",
"telephone_number": "301-701-6046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZEMORE",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MD",
"license": "M06330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.