Sandra Thomas, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019008553 Issued in VA

Practice address

1372 Old Bridge Rd Ste 102
Woodbridge, VA 22192-2755

Phone

(617) 792-5329

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1710768684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 MERCHANT PLZ # 605",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925085",
            "telephone_number": "617-792-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 OLD BRIDGE RD STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922755",
            "telephone_number": "617-792-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theuniversalbuy Corp
• Su-En Chu Thlick, DMD
• D'Juan Daniel Thomas, M.ED., NCC, LPC-R
• Kimberly Denise Thomas, LPC
• Marvette Evonne Thomas, DDS
• Samantha Thomasson
• Georgina Pennell Thompson
• Gwendolyn Thompson
• Jennifer Thompson, NP
• Joan L Thompson, RPH

• Massage Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.