Active NPI
Kingston Rashid Holcomb, LMT
- Massage Therapist
- Randallstown, MD
National Provider Identifier
1487937736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M04652
- Practice address
- 5310 Old Court Rd
Suite 308
Randallstown, MD 21133-5243 - Phone
- (410) 635-4645
- NPI assigned
- Sep 23, 2011
- 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 | M04652 | MD | Primary |
Addresses
Primary practice location
5310 Old Court Rd
Suite 308
Randallstown, MD 21133-5243
Mailing address
7807 Jody Knoll Rd
Baltimore, MD 21244-2946
Phone (240) 855-6134
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 |
|---|---|---|---|
| M04652 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1487937736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 JODY KNOLL RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442946",
"telephone_number": "240-855-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 OLD COURT RD",
"address_2": "SUITE 308",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335243",
"telephone_number": "410-635-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "KINGSTON",
"middle_name": "RASHID",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.