Individual provider Active NPI

Lynton M McCrae, RMP

  • Massage Therapist
  • Waldorf, MD
National Provider Identifier
1922856210
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M03376 Issued in MD
Practice address
1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758
Phone
(410) 934-0580
Fax
(410) 834-1217
NPI assigned
May 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 M03376 MD Primary

Addresses

Primary practice location

1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758

Mailing address

227 46TH PL NE
Washington, DC 20019-4622
Phone (202) 424-3332

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
M03376MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Alkaline Life LLC CurrentSince Sep 14, 2025 Accepting new patients
One Alkaline Life, LLC CurrentSince May 19, 2024 Accepting new patients

Locations

1036 Saint Nicholas Dr
Unit 102
Waldorf, MD 20603
Phone (410) 934-0580

Organizations & group practices 2

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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1922856210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 46TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194622",
            "telephone_number": "202-424-3332",
            "fax_number": "410-834-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SAINT NICHOLAS DR UNIT 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034758",
            "telephone_number": "410-934-0580",
            "fax_number": "410-834-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "LYNTON",
        "middle_name": "M",
        "credential": "RMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M03376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.