Individual provider Active NPI

Xiongjiao Oertel, LMT

  • Massage Therapist
  • Alexandria, VA
National Provider Identifier
1831842970
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019014550 Issued in VA
Practice address
6118 Franconia Rd Ste 210a
Alexandria, VA 22310-2565
Phone
(703) 924-6288
NPI assigned
Jan 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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 0019014550 VA Primary

Addresses

Primary practice location

6118 Franconia Rd Ste 210a
Alexandria, VA 22310-2565

Mailing address

5708 Medallion CT
Alexandria, VA 22303-1050
Phone (703) 231-8953

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL yourperfectmassage@yahoo.com Direct

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
0019014550VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1831842970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 MEDALLION CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031050",
            "telephone_number": "703-231-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 FRANCONIA RD STE 210A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102565",
            "telephone_number": "703-924-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTEL",
        "first_name": "XIONGJIAO",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019014550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yourperfectmassage@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6118 Franconia Rd Ste 210A",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223102565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.