Yankar Augusto Vazquez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT012587 Issued in GA

Practice address

980 Birmingham Rd Ste 811
Milton, GA 30004-4420

Phone

(404) 483-3018

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1023640927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BIRMINGHAM RD STE 811",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044420",
            "telephone_number": "404-483-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BIRMINGHAM RD STE 811",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044420",
            "telephone_number": "404-483-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "YANKAR",
        "middle_name": "AUGUSTO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Milton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "980 Birmingham Rd Ste 811",
            "city": "Milton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300044420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thrive at Home Solutions LLC
• Lyudmila Tkachuk
• Total Health Solutions Medical Center
• Totally Aligned 2
• Truenorth Behavioral Performance Services
• Laurie Ann Welch, LPC
• Wellness Centers of America, Inc.
• Heather Willey
• Cason Wilson, LCSW
• Charlene B Wilson

• Massage Therapist in Milton, GA
• Providers in Milton, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.