Individual provider Active NPI

Charles Lewis Patton III, LMT, NCTMB

  • Massage Therapist
  • Washington, DC
National Provider Identifier
1962835603
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT1511 Issued in DC
Practice address
203 N St SW
Apt 420
Washington, DC 20024-3525
Phone
(202) 412-7444
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT1511 DC Primary
Massage Therapist 225700000X 0019010788 VA

Addresses

Primary practice location

203 N St SW
Apt 420
Washington, DC 20024-3525

Mailing address

203 N St SW
Apt 420
Washington, DC 20024-3525
Phone (202) 412-7444

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
MT1511DCMDMassage Therapist
0019010788VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Treatment, LLC Past Accepting new patients

Organizations & group practices 1

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1962835603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ST SW",
            "address_2": "APT 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243525",
            "telephone_number": "202-412-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N ST SW",
            "address_2": "APT 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243525",
            "telephone_number": "202-412-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "CHARLES",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMT, NCTMB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT1511",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019010788",
            "primary": false
        }
    ],
    "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 Aug 16, 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.

Verify at the official NPI Registry.