Individual provider Active NPI

Robert Dennis Feducia Jr., MT

  • Massage Therapist
  • Fredericksburg, VA
National Provider Identifier
1598544819
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014
Phone
(540) 907-5446
NPI assigned
Sep 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 Primary

Addresses

Primary practice location

10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014

Mailing address

10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014
Phone (540) 907-5446

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
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1598544819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 500",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078014",
            "telephone_number": "540-907-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 500",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078014",
            "telephone_number": "540-907-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDUCIA",
        "first_name": "ROBERT",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.