Active NPI
Robert John Jordan, MASSAGE THERAPIST
- Massage Therapist
- Rockville, MD
National Provider Identifier
1477561447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M02335
- Practice address
- 6810 Tilden LN
Rockville, MD 20852-4501 - Phone
- (301) 468-3962
- Fax
- (301) 984-0218
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 | M02335 | MD | Primary |
Addresses
Primary practice location
6810 Tilden LN
Rockville, MD 20852-4501
Mailing address
6810 Tilden LN
Rockville, MD 20852-4501
Phone (301) 468-3962
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 |
|---|---|---|---|
| M02335 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Jordan Health Services LLC | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Rockville, MD
- NPI 1295150597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477561447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 TILDEN LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524501",
"telephone_number": "301-468-3962",
"fax_number": "301-984-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 TILDEN LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524501",
"telephone_number": "301-468-3962",
"fax_number": "301-984-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M02335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.