Active NPI
Patrick R Dozier, LMT
- Massage Therapist
- Bowie, MD
National Provider Identifier
1982325833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M05232
- Practice address
- 14300 Gallant Fox LN Ste 107
Bowie, MD 20715-4031 - Phone
- (443) 775-0796
- NPI assigned
- Sep 8, 2022
- 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 | M05232 | MD | Primary |
Addresses
Primary practice location
14300 Gallant Fox LN Ste 107
Bowie, MD 20715-4031
Mailing address
2504 Lesh CT
Crofton, MD 21114-3221
Phone (240) 462-6721
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 |
|---|---|---|---|
| M05232 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Life 1 Body Therapeutic Massage LLC | Single Specialty | Current | Accepting new patients |
Locations
3231 Superior Ln
Ste A6
Bowie, MD 20715
Phone (301) 352-2520
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": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1982325833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 LESH CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211143221",
"telephone_number": "240-462-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN STE 107",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154031",
"telephone_number": "443-775-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOZIER",
"first_name": "PATRICK",
"middle_name": "R",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MD",
"license": "M05232",
"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 Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.