Active NPI
Amber Paige Davis, RMP
- Massage Therapist
- Laurel, MD
National Provider Identifier
1467939025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- R01478
- Practice address
- 617 Main St
Laurel, MD 20707-4065 - Phone
- (240) 743-6612
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | R01478 | MD | Primary |
Addresses
Primary practice location
617 Main St
Laurel, MD 20707-4065
Mailing address
PO Box 2348
Bowie, MD 20718-2348
Phone (240) 743-6612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R01478 | Other | MD | STATE OF MARYLAND |
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 |
|---|---|---|---|
| R01478 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1467939025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2348",
"city": "BOWIE",
"state": "MD",
"postal_code": "207182348",
"telephone_number": "240-743-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 MAIN ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074065",
"telephone_number": "240-743-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMBER",
"middle_name": "PAIGE",
"credential": "RMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R01478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND",
"identifier": "R01478",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.