Active NPI
Roshaud L Lewis, RMP
- Massage Therapist
- Clinton, MD
National Provider Identifier
1407282296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M04861
- Practice address
- 8969 Woodyard Rd
Clinton, MD 20735-4203 - Phone
- (301) 868-1961
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- 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 | M04861 | MD | Primary |
Addresses
Primary practice location
8969 Woodyard Rd
Clinton, MD 20735-4203
Mailing address
9902 Fox Run Dr
Clinton, MD 20735-3071
Phone (240) 244-6005
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 |
|---|---|---|---|
| M04861 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1407282296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 FOX RUN DR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353071",
"telephone_number": "240-244-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8969 WOODYARD RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354203",
"telephone_number": "301-868-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ROSHAUD",
"middle_name": "L",
"credential": "RMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.