Individual provider Active NPI

Joan L Davis, LMT

  • Massage Therapist
  • Rockville, MD
National Provider Identifier
1821336439
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M00837 Issued in MD
Practice address
3202 Tower Oaks Blvd
Suite 280
Rockville, MD 20852-4219
Phone
(301) 231-7800
Fax
(301) 231-7801
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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 M00837 MD Primary

Addresses

Primary practice location

3202 Tower Oaks Blvd
Suite 280
Rockville, MD 20852-4219

Mailing address

3202 Tower Oaks Blvd
Suite 280
Rockville, MD 20852-4219
Phone (301) 231-7800

Other identifiers 1

IdentifierTypeStateIssuer
M00837OtherMDMD

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
M00837MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Physical Therapy PastSince Jan 1, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1821336439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE 280",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-231-7800",
            "fax_number": "301-231-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE 280",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-231-7800",
            "fax_number": "301-231-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M00837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "M00837",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.