Active NPI
Ibani Bridgeford, RMP
- Massage Therapist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- R03749
- Practice address
- 3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599 - Phone
- (443) 203-8308
- NPI assigned
- Aug 11, 2025
- Last updated
- Oct 6, 2025
- 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 | R03749 | MD | Primary |
Addresses
Primary practice location
3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599
Mailing address
3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599
Phone (443) 203-8308
Other practice location 1
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (443) 203-8308
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 |
|---|---|---|---|
| R03749 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kneading Well LLC | Massage Therapist | Current | Accepting new patients |
Locations
516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948
3505 Ellicott Mills Dr
Ste B1
Ellicott City, MD 21043
Phone (443) 203-8308
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1417833054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 ELLICOTT MILLS DR STE B1",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434599",
"telephone_number": "443-203-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ELLICOTT MILLS DR STE B1",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434599",
"telephone_number": "443-203-8308"
}
],
"practiceLocations": [
{
"address_1": "516 N Rolling Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212284142",
"country_code": "US",
"telephone_number": "443-203-8308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGEFORD",
"first_name": "IBANI",
"name_prefix": "Ms.",
"credential": "RMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R03749",
"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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.