Individual provider Active NPI

Tammy Lueders, LMT

  • Massage Therapist
  • Ellicott City, MD
National Provider Identifier
1720528136
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M02156 Issued in MD
Practice address
5016 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7823
Phone
(410) 997-1808
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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 M02156 MD Primary

Addresses

Primary practice location

5016 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7823

Mailing address

714 Oella Ave
Ellicott City, MD 21043-4728

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
M02156MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1720528136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 OELLA AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 DORSEY HALL DR",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427823",
            "telephone_number": "410-997-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "TAMMY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M02156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.