Active NPI
Chad Waterman
- Massage Therapist
- Catonsville, MD
National Provider Identifier
1972074391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2399
- Practice address
- 516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142 - Phone
- (443) 500-0204
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | MT2399 | DC | Primary |
Addresses
Primary practice location
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Mailing address
5007 Tidler CT
Glenn Dale, MD 20769-9111
Phone (443) 500-0204
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 |
|---|---|---|---|
| MT2399 | DC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1972074391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 TIDLER CT",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699111",
"telephone_number": "443-500-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 N ROLLING RD STE 305",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284142",
"telephone_number": "443-500-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "CHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT2399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.