Active NPI
Barry Jacob Kagan, LMT
- Massage Therapist
- Hyattsville, MD
National Provider Identifier
1679879795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M03504
- Practice address
- 3316 Manorwood Dr
Hyattsville, MD 20782-3164 - Phone
- (301) 332-8261
- NPI assigned
- Feb 7, 2011
- Last updated
- Feb 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | M03504 | MD | Primary |
Addresses
Primary practice location
3316 Manorwood Dr
Hyattsville, MD 20782-3164
Mailing address
3316 Manorwood Dr
Hyattsville, MD 20782-3164
Phone (301) 332-8261
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 |
|---|---|---|---|
| M03504 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1679879795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 MANORWOOD DR",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823164",
"telephone_number": "301-332-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 MANORWOOD DR",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823164",
"telephone_number": "301-332-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "BARRY",
"middle_name": "JACOB",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M03504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
- Jihyun Ann Jun, DO
- K and S Home Health Care Services
- Fanta Kaba
- Nassoro Kachingwe
- Hottouo Reine Kadio Epse Kouame
- Allan K Kairuki
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente West Hyattsville Pharmacy)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente West Hyattsville Medical Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente West Hyattsville Laboratory)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.