Individual provider Active NPI

Teigest Mulatu Tafesse

  • Massage Therapist
  • Alexandria, VA
National Provider Identifier
1568332500
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00190134119 Issued in VA
Practice address
100 S Reynolds St Apt 108
Alexandria, VA 22304-3171
Phone
(202) 704-5864
NPI assigned
Nov 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 00190134119 VA Primary

Addresses

Primary practice location

100 S Reynolds St Apt 108
Alexandria, VA 22304-3171

Mailing address

100 S Reynolds St Apt 108
Alexandria, VA 22304-3171
Phone (202) 704-5864

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

LicenseStateTypeSpecialty
00190134119VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1568332500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S REYNOLDS ST APT 108",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043171",
            "telephone_number": "202-704-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S REYNOLDS ST APT 108",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043171",
            "telephone_number": "202-704-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFESSE",
        "first_name": "TEIGEST",
        "middle_name": "MULATU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "00190134119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.