Individual provider Active NPI

Marie A Henry, LMT, MLD-C

  • Massage Therapist
  • Bowie, MD
National Provider Identifier
1396500609
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M06338 Issued in MD
Practice address
100 White Marsh Park Dr
Bowie, MD 20715-4361
Phone
(619) 629-5295
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X M06338 MD Primary

Addresses

Primary practice location

100 White Marsh Park Dr
Bowie, MD 20715-4361

Mailing address

4208 Yeadon CT
Bowie, MD 20715-1445
Phone (619) 629-5295

Other practice location 1

1511 Ritchie Hwy Ste 104
Arnold, MD 21012-2461
Phone (619) 629-5295

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

LicenseStateTypeSpecialty
M06338MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1396500609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 YEADON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151445",
            "telephone_number": "619-629-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHITE MARSH PARK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154361",
            "telephone_number": "619-629-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Ritchie Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MD",
            "postal_code": "210122461",
            "country_code": "US",
            "telephone_number": "619-629-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "LMT, MLD-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M06338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.