Individual provider Active NPI

Jessica Valor, MASSAGE THERAPIST

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1013637149
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011964 Issued in GA
Practice address
3201 Downwood Cir NW Unit 2119
Atlanta, GA 30327-1727
Phone
(770) 990-7808
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 011964 GA Primary

Addresses

Primary practice location

3201 Downwood Cir NW Unit 2119
Atlanta, GA 30327-1727

Mailing address

3201 Downwood Cir NW Unit 2119
Atlanta, GA 30327-1727
Phone (770) 990-7808

Other identifiers 1

IdentifierTypeStateIssuer
011964OtherGAMASSAGE THERAPY

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

LicenseStateTypeSpecialty
011964GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1013637149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DOWNWOOD CIR NW UNIT 2119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271727",
            "telephone_number": "770-990-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DOWNWOOD CIR NW UNIT 2119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271727",
            "telephone_number": "770-990-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALOR",
        "first_name": "JESSICA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "011964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "011964",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.