Lavar Gilliam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M06984 Issued in MD

Practice address

10383 Stone Pine Ave
Waldorf, MD 20603-5795

Phone

(240) 650-8967

NPI assigned

Nov 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764201600000",
    "number": "1699637686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 SMALLWOOD DR W # 193",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10383 STONE PINE AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035795",
            "telephone_number": "240-650-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "LAVAR",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-27",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019010499",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M06984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant of Maryland LLC (Giant Pharmacy 304)
• Elveta E. Gibson, LICSW, LCSW-C, LCSW
• Samantha Hilyer Gildea
• Beant Singh Gill, M.D.
• Gilles Medical Supply Corp
• Shannon L Gilliam, PA
• Batavia Antonette Gillis, RN
• Conall Michael Gilvary
• Richard Frank Gittleson, DDS
• Chantel Gladden, LPC, LCPC

• Massage Therapist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.