Active NPI
Celia M. Davis
- Massage Therapist
- Ellicott City, MD
National Provider Identifier
1407108277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- R01260
- Practice address
- 5475 Autumn Field CT
Ellicott City, MD 21043-7097 - Phone
- (443) 285-9675
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 | R01260 | MD | Primary |
Addresses
Primary practice location
5475 Autumn Field CT
Ellicott City, MD 21043-7097
Mailing address
5475 Autumn Field CT
Ellicott City, MD 21043-7097
Phone (443) 285-9675
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 |
|---|---|---|---|
| R01260 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1407108277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 AUTUMN FIELD CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437097",
"telephone_number": "443-285-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 AUTUMN FIELD CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437097",
"telephone_number": "443-285-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CELIA",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R01260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.