Active NPI
Teri Nofer
- Massage Therapist
- Columbia, MD
National Provider Identifier
1619387669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 44946
- Practice address
- 8894 Stanford Blvd Suite 303
Columbia, MD 21045-2131 - Phone
- (860) 682-3470
- NPI assigned
- Apr 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 185123 | MD | |
| Massage Therapist | 225700000X | 44946 | MD | Primary |
Addresses
Primary practice location
8894 Stanford Blvd Suite 303
Columbia, MD 21045-2131
Mailing address
1738 Webster Street
Baltimore, MD 21230
Phone (860) 682-3470
Other practice location 1
72 Salmon Brook Dr
Glastonbury, CT 06033-2131
Phone (860) 780-6341
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 |
|---|---|---|---|
| 185123 | MD | MD | Physical Therapy Assistant |
| 44946 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1619387669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 WEBSTER STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21230",
"telephone_number": "860-682-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8894 STANFORD BLVD SUITE 303",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452131",
"telephone_number": "860-682-3470"
}
],
"practiceLocations": [
{
"address_1": "72 Salmon Brook Dr",
"address_purpose": "LOCATION",
"city": "Glastonbury",
"state": "CT",
"postal_code": "060332131",
"country_code": "US",
"telephone_number": "860-780-6341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOFER",
"first_name": "TERI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "185123",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "44946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.