Susanna Atherton, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-21440 Issued in AZ

Practice address

4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020

Phone

(623) 670-2235

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1003547290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 W VERMONT AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016606",
            "telephone_number": "623-848-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 115A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022020",
            "telephone_number": "623-670-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHERTON",
        "first_name": "SUSANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-21440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Aswad, PA-C
• At Your Door Eldercare, LLC
• Saadet Atay-Rosenthal, M.D.
• Kathryn Atha, LPC
• Christopher Athari, D.M.D
• Athletico LTD
• Deanna Elizabeth Athnos
• Mary Ann Atia, MD
• Abigail Atkins, EDD
• Eva Marie Atkinson, RN

• Massage Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.