Organization Active NPI

Medimassagepro LLC

  • Massage Therapist
  • Potomac, MD
National Provider Identifier
1346993888
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MEDIMASSAGEPRO LLC
Practice address
10008 Falls Rd
Potomac, MD 20854-4104
Phone
(301) 299-1013
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Theresa Escoffery, MMT, LMTNPI 1215698857
Title
Founder / Lead Therapist
Phone
(240) 506-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

10008 Falls Rd
Potomac, MD 20854-4104

Mailing address

11215 Edson Park PL Apt 37
N Bethesda, MD 20852-3175
Phone (240) 506-7470

Other practice location 1

934 Rose Ave
N Bethesda, MD 20852-8687
Phone (301) 880-3313

National Provider Directory

National Provider Directory

Locations

934 Rose Ave
North Bethesda, MD 20852
Phone (301) 880-3313

10008 Falls Rd
Potomac, MD 20854
Phone (240) 944-6265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1346993888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 EDSON PARK PL APT 37",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523175",
            "telephone_number": "240-506-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 FALLS RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544104",
            "telephone_number": "301-299-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 Rose Ave",
            "address_purpose": "LOCATION",
            "city": "N Bethesda",
            "state": "MD",
            "postal_code": "208528687",
            "country_code": "US",
            "telephone_number": "301-880-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIMASSAGEPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "ESCOFFERY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "FOUNDER / LEAD THERAPIST",
        "authorized_official_telephone_number": "240-506-7470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MMT, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.