Individual provider Active NPI

Angela Heary, LMT

  • Massage Therapist
  • Baltimore, MD
National Provider Identifier
1720496615
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M04954 Issued in MD
Practice address
103 Chesapeake Park PLZ
Ge Mras Employee Health & Wellness Center
Baltimore, MD 21220-4201
Phone
(410) 682-1595
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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 M04954 MD Primary

Addresses

Primary practice location

103 Chesapeake Park PLZ
Ge Mras Employee Health & Wellness Center
Baltimore, MD 21220-4201

Mailing address

2809 Boston St Apt 114
Baltimore, MD 21224-4815
Phone (407) 373-4157

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
M04954MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1720496615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BOSTON ST APT 114",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244815",
            "telephone_number": "407-373-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE PARK PLZ",
            "address_2": "GE MRAS EMPLOYEE HEALTH & WELLNESS CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212204201",
            "telephone_number": "410-682-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARY",
        "first_name": "ANGELA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.