Active NPI
Mary A Aguilera-Titus, LMT, BCTMB
- Massage Therapist
- Washington, DC
National Provider Identifier
1902392236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT1255
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2696 - Phone
- (202) 660-7775
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M02307 | MD | |
| Massage Therapist | 225700000X | MT1255 | DC | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2696
Mailing address
13134 Valleywood Dr
Silver Spring, MD 20906-3959
Phone (301) 946-4575
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1497
Phone (301) 896-3894
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 |
|---|---|---|---|
| MT1255 | DC | MD | Massage Therapist |
| M02307 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1902392236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13134 VALLEYWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063959",
"telephone_number": "301-946-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162696",
"telephone_number": "202-660-7775"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141497",
"country_code": "US",
"telephone_number": "301-896-3894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILERA-TITUS",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMT, BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M02307",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT1255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.