Rosalyn Graham, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M02777 Issued in MD

Practice address

16317 Eddinger Rd
Bowie, MD 20716-6327

Phone

(240) 505-4405

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1871990580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16317 EDDINGER ROAD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "240-505-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16317 EDDINGER RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207166327",
            "telephone_number": "240-505-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ROSALYN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M02777",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019004374",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT0507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace & Mercy Community Services Inc.
• Grace Inspire Behavioral Health Care LLC
• Gracemind Behavioral Health Services LLC
• Graces Room LLC
• Shayla Graham-Brock, M.D.
• Gramps Place Companion Services
• Erayna Poles Grant, CRNP
• Patrick Jacque Graux, D.C.
• Erick Alan Gray, O.D.
• Jamia Gray

• Massage Therapist in Bowie, MD
• Providers in Bowie, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.