Active NPI
Emily Tellez
- Massage Therapist
- Washington, DC
National Provider Identifier
1558819367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1407
- Practice address
- 3220 17TH St NW
Suite 10
Washington, DC 20010-2135 - Phone
- (202) 436-1279
- NPI assigned
- Sep 21, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1407 | DC | Primary |
| Massage Therapist | 225700000X | 19013663 | VA | |
| Massage Therapist | 225700000X | R02274 | MD |
Addresses
Primary practice location
3220 17TH St NW
Suite 10
Washington, DC 20010-2135
Mailing address
1327 Irving St NE
Washington, DC 20017-2453
Phone (410) 499-5395
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 |
|---|---|---|---|
| 1407 | DC | MD | Addiction (Substance Use Disorder) Counselor |
| R02274 | MD | MD | Massage Therapist |
| 19013663 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1558819367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 IRVING ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172453",
"telephone_number": "410-499-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 17TH ST NW",
"address_2": "SUITE 10",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102135",
"telephone_number": "202-436-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "1407",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "19013663",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R02274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.