ROBERT M PETTY PTA MT NPI 1174683882

NPI Information

  • NPI: 1174683882
  • Provider Name: ROBERT M PETTY, PTA MT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 4000 ALBEMARLE STREET NW
    SUITE 501
    WASHINGTON, DC
    ZIP 20016
  • Phone: (202) 966-2033

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NPI Details

Robert M Petty, PTA MT is a massage therapist in Washington, DC. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Robert M Petty, PTA MT NPI is 1174683882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4000 ALBEMARLE STREET NW
SUITE 501
WASHINGTON, DC
ZIP 20016
Phone: (202) 966-2033
Fax: (202) 966-2034

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist2306000602VIRGINIANo
2225700000XMassage TherapistMT231DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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