Individual provider Active NPI

Ruth Egdon, RMP

  • Massage Therapist
  • Glen Burnie, MD
National Provider Identifier
1679917512
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
R00932 Issued in MD
Practice address
7954 B and a Blvd
Suite 2K
Glen Burnie, MD 21060-8188
Phone
(410) 787-0044
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 R00932 MD Primary

Addresses

Primary practice location

7954 B and a Blvd
Suite 2K
Glen Burnie, MD 21060-8188

Mailing address

7954 B and a Blvd
Suite 2K
Glen Burnie, MD 21060-8188
Phone (410) 787-0044

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
R00932MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1679917512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 B AND A BLVD",
            "address_2": "SUITE 2K",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608188",
            "telephone_number": "410-787-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 B AND A BLVD",
            "address_2": "SUITE 2K",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608188",
            "telephone_number": "410-787-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGDON",
        "first_name": "RUTH",
        "credential": "RMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R00932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.