NPIMap

Organization Active NPI

Breathe to Wellness LLC

  • Massage Therapist
  • Duluth, GA
National Provider Identifier
1013443126
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BREATHE TO WELLNESS LLC
Practice address
1335 Herrington Rd
#2007
Duluth, GA 30096-4683
Phone
(678) 389-2088
NPI assigned
May 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Kimberly HackadayNPI 1619769742
Title
License Massage Therapist
Phone
(412) 996-0843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1335 Herrington Rd
#2007
Duluth, GA 30096-4683

Mailing address

1557 Buford Dr
#491811
Lawrenceville, GA 30049-0185

National Provider Directory

National Provider Directory

Locations

1557 Buford Dr
Unit 491811
Lawrenceville, GA 30049
Phone (412) 996-0843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1013443126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 BUFORD DR",
            "address_2": "#491811",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 HERRINGTON RD",
            "address_2": "#2007",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964683",
            "telephone_number": "678-389-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "HACKADAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSE MASSAGE THERAPIST",
        "authorized_official_telephone_number": "412-996-0843"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.