Individual provider Active NPI

Melanie Wais

  • Massage Therapist
  • Odenton, MD
National Provider Identifier
1669272852
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M04286 Issued in MD
Practice address
1202 Annapolis Rd Ste E
Odenton, MD 21113-1398
Phone
(410) 417-7711
NPI assigned
Mar 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X M04286 MD Primary

Addresses

Primary practice location

1202 Annapolis Rd Ste E
Odenton, MD 21113-1398

Mailing address

201 Crain Hwy N Apt 3J
Glen Burnie, MD 21061-3375

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
M04286MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Herman Acupuncture CurrentSince Mar 24, 2025 Accepting new patients

Locations

1202 Annapolis Rd
Ste E
Odenton, MD 21113
Phone (410) 417-7711

Organizations & group practices 1

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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1669272852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CRAIN HWY N APT 3J",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 ANNAPOLIS RD STE E",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131398",
            "telephone_number": "410-417-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIS",
        "first_name": "MELANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.