Daniel Allen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019016704 Issued in VA

Practice address

4068 Flats Main St
Apt 100
Indian Land, SC 29707

Phone

(703) 863-9468

NPI assigned

Sep 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anomaly Bodywork & Wellness Center, LLC

  • Massage Therapist
  • Indian Land, SC
  • NPI 1215535844

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1396228698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 QUEENS WALK CT",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077176",
            "telephone_number": "571-316-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 FLATS MAIN ST",
            "address_2": "APT 100",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "703-863-9468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45718 Wellesley Ter Apt 128",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201666638",
            "country_code": "US",
            "telephone_number": "571-316-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019016704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundant Life Support Services, LLC
• Sonali Alpa Acharya, PHARMD
• Kathryn Agee
• Christian Jose Alegria, DMD
• Steven James Alvarez, DPT
• Danielle Marie Andreasen, PHARMD
• Anomaly Bodywork & Wellness Center, LLC
• Maria Bagwell, P.T.
• Margaret Karmen Ball, MD

• All providers in Indian Land, SC
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.