Active NPI
Gwenda McClain Harrison, LMT
- Massage Therapist
- Fort Washington, MD
National Provider Identifier
1700146164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 02737
- Practice address
- 10903 Indian Head Hwy
Suite 303
Ft Washington, MD 20744-4000 - Phone
- (301) 509-7249
- NPI assigned
- May 19, 2012
- Last updated
- May 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 02737 | MD | Primary |
Addresses
Primary practice location
10903 Indian Head Hwy
Suite 303
Ft Washington, MD 20744-4000
Mailing address
15313 Livingston Rd
Accokeek, MD 20607-2819
Phone (301) 509-7249
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 |
|---|---|---|---|
| 02737 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337385600000",
"number": "1700146164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15313 LIVINGSTON RD",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206072819",
"telephone_number": "301-509-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 INDIAN HEAD HWY",
"address_2": "SUITE 303",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "207444000",
"telephone_number": "301-509-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "GWENDA",
"middle_name": "MCCLAIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-19",
"last_updated": "2012-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "02737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.