Active NPI
David Thomas Evans, LMT
- Massage Therapist
- Frederick, MD
National Provider Identifier
1740995422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M06146
- Practice address
- 603 W Patrick St Ste B
Frederick, MD 21701-4090 - Phone
- (301) 620-1414
- NPI assigned
- Jan 18, 2023
- Last updated
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
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 | M06146 | MD | Primary |
Addresses
Primary practice location
603 W Patrick St Ste B
Frederick, MD 21701-4090
Mailing address
18852 Sandyhook Rd Apt B
Knoxville, MD 21758-1358
Phone (301) 514-9912
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 |
|---|---|---|---|
| M06146 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Health Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Frederick, MD
- NPI 1669651113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1740995422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18852 SANDYHOOK RD APT B",
"city": "KNOXVILLE",
"state": "MD",
"postal_code": "217581358",
"telephone_number": "301-514-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W PATRICK ST STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014090",
"telephone_number": "301-620-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DAVID",
"middle_name": "THOMAS",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M06146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.