NPIMap

Organization Active NPI

Medical Massage Professionals LLC

  • Massage Therapist
  • Silver Spring, MD
National Provider Identifier
1962766535
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
R01540 Issued in MD
Legal business name
MEDICAL MASSAGE PROFESSIONALS LLC
Practice address
8705 Colesville Rd
Suite B-198
Silver Spring, MD 20910-3903
Phone
(240) 506-7470
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Ms. Theresa Escoffery, BCTMB, MMT, LMT, CMTNPI 1215698857
Title
Founder
Phone
(240) 506-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X R01540 MD Primary

Addresses

Primary practice location

8705 Colesville Rd
Suite B-198
Silver Spring, MD 20910-3903

Mailing address

8705 Colesville Rd
Suite B-198
Silver Spring, MD 20910-3903
Phone (240) 506-7470

Other identifiers 4

IdentifierTypeStateIssuer
0019009926OtherVAMASSAGE THERAPY LICENSE
603891-11OtherMDNCBTMB BOARD CERTIFICATION
MT1603OtherDCMASSAGE THERAPY LICENSE
M05500OtherMDMASSAGE THERAPY LICENSE

Other names 1

  • My Traveling Therapist INC Former legal business name

National Provider Directory

National Provider Directory

Locations

8705 Colesville Rd
Ste B198
Silver Spring, MD 20910
Phone (240) 506-7470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1962766535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 COLESVILLE RD",
            "address_2": "SUITE B-198",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103903",
            "telephone_number": "240-506-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 COLESVILLE RD",
            "address_2": "SUITE B-198",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103903",
            "telephone_number": "240-506-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "ESCOFFERY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "240-506-7470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCTMB, MMT, LMT, CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R01540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "0019009926",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB BOARD CERTIFICATION",
            "identifier": "603891-11",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MT1603",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "M05500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Traveling Therapist INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.