Individual provider Active NPI

Mina Cantu, MASSAGE THERAPIST

  • Massage Therapist
  • Fredericksburg, VA
National Provider Identifier
1831054352
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019019222
Practice address
4300 Plank Rd Ste 120
Fredericksburg, VA 22407-0102
Phone
(540) 412-6536
Fax
(540) 252-0012
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 0019019222 Primary

Addresses

Primary practice location

4300 Plank Rd Ste 120
Fredericksburg, VA 22407-0102

Mailing address

17308 Camellia Dr
Ruther Glen, VA 22546-4806
Phone (540) 412-6536

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Wellness Massage Massage Therapist CurrentSince Dec 21, 2025 Accepting new patients

Locations

4300 Plank Rd
Ste 120
Fredericksburg, VA 22407
Phone (540) 412-6536

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": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1831054352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17308 CAMELLIA DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225464806",
            "telephone_number": "540-412-6536",
            "fax_number": "540-252-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PLANK RD STE 120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070102",
            "telephone_number": "540-412-6536",
            "fax_number": "540-252-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "MINA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "0019019222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.