Active NPI
Medina Walker
- Massage Therapist
- Towson, MD
National Provider Identifier
1346825684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- R03337
- Practice address
- 302 E Joppa Rd
Towson, MD 21286-3152 - Phone
- (347) 370-5981
- NPI assigned
- Mar 17, 2021
- Last updated
- Mar 17, 2021
- Sex
- Male
- 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 | R03337 | MD | Primary |
Addresses
Primary practice location
302 E Joppa Rd
Towson, MD 21286-3152
Mailing address
302 E Joppa Rd
Towson, MD 21286-3152
Phone (347) 370-5981
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 |
|---|---|---|---|
| R03337 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1346825684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E JOPPA RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863152",
"telephone_number": "347-370-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E JOPPA RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863152",
"telephone_number": "347-370-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MEDINA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R03337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.