Individual provider Active NPI

Sahel Sedghazar

  • Massage Therapist
  • Bethesda, MD
National Provider Identifier
1720674138
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
R01010 Issued in MD
Practice address
7540 Spring Lake Dr # a
Bethesda, MD 20817-6540
Phone
(240) 472-1494
NPI assigned
Dec 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019007996 VA
Massage Therapist 225700000X MT1231 DC
Massage Therapist 225700000X R01010 MD Primary

Addresses

Primary practice location

7540 Spring Lake Dr # a
Bethesda, MD 20817-6540

Mailing address

7540 Spring Lake Dr # a
Bethesda, MD 20817-6540
Phone (240) 472-1494

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
MT1231DCMDMassage Therapist
R01010MDMDMassage Therapist
0019007996VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1720674138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 SPRING LAKE DR # A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176540",
            "telephone_number": "240-472-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 SPRING LAKE DR # A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176540",
            "telephone_number": "240-472-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGHAZAR",
        "first_name": "SAHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019007996",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT1231",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R01010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.