Active NPI
Cathy Shao
- Massage Therapist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M04864
- Practice address
- 2424 University Blvd W
Silver Spring, MD 20902-4538 - Phone
- (443) 465-4633
- NPI assigned
- Mar 27, 2024
- Last updated
- Mar 27, 2024
- Sex
- Female
- 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 | M04864 | MD | Primary |
Addresses
Primary practice location
2424 University Blvd W
Silver Spring, MD 20902-4538
Mailing address
9717 Wilden LN
Potomac, MD 20854-2054
Phone (443) 465-4633
Other practice location 1
4931 Cordell Ave
Bethesda, MD 20814-2508
Phone (443) 465-4633
Other practice location 2
12222 Rockville Pike
Rockville, MD 20852-5617
Phone (443) 465-4633
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 |
|---|---|---|---|
| M04864 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tea Spa Wellness LLC | Massage Therapist | Current | Accepting new patients |
| Balance and Wellness LLC | Massage Therapist | Current | Accepting new patients |
Locations
4931 Cordell Ave
Bethesda, MD 20814
Phone (240) 802-2092
12222 Rockville Pike
Rockville, MD 20852
Phone (240) 669-7761
2424 University Blvd W
Silver Spring, MD 20902
Phone (301) 942-1222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1578314845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9717 WILDEN LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542054",
"telephone_number": "443-465-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024538",
"telephone_number": "443-465-4633"
}
],
"practiceLocations": [
{
"address_1": "4931 Cordell Ave",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208142508",
"country_code": "US",
"telephone_number": "443-465-4633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12222 Rockville Pike",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208525617",
"country_code": "US",
"telephone_number": "443-465-4633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAO",
"first_name": "CATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.