Active NPI
Tennina Perry, MASSAGE THERAPIST
- Massage Therapist
- Bowie, MD
National Provider Identifier
1942647474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT1820
- Practice address
- 6846 Race Track Rd
Suite #104
Bowie, MD 20715-3011 - Phone
- (240) 491-1151
- Fax
- (240) 965-7793
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT1820 | DC | Primary |
Addresses
Primary practice location
6846 Race Track Rd
Suite #104
Bowie, MD 20715-3011
Mailing address
11236 Cherry Hill Rd
# T1
Beltsville, MD 20705-3840
Phone (240) 491-1151
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 |
|---|---|---|---|
| MT1820 | DC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1942647474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11236 CHERRY HILL RD",
"address_2": "# T1",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053840",
"telephone_number": "240-491-1151",
"fax_number": "240-965-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6846 RACE TRACK RD",
"address_2": "SUITE #104",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153011",
"telephone_number": "240-491-1151",
"fax_number": "240-965-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "TENNINA",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT1820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.