Donna Sandridge-Walker, NBCMT, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019017866 Issued in VA

Practice address

4400 Ivy CMNS
Charlottesville, VA 22903-7123

Phone

(434) 328-6163

Fax

(434) 373-8016

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tranquil Assuage

  • Massage Therapist
  • Charlottesville, VA
  • NPI 1285209494
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1548834948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229320695",
            "telephone_number": "434-328-6163",
            "fax_number": "434-296-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 IVY CMNS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037123",
            "telephone_number": "434-328-6163",
            "fax_number": "434-373-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIDGE-WALKER",
        "first_name": "DONNA",
        "credential": "NBCMT, LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.