Individual provider Active NPI

Ashley White, NCTMB, LMT

  • Mechanotherapist
  • Evans, GA
National Provider Identifier
1033350376
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT000543 Issued in GA
Practice address
7013 Evans Town Center Blvd Ste 201
Evans, GA 30809-5131
Phone
(706) 651-0202
NPI assigned
Mar 17, 2009
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT000543 GA Primary

Addresses

Primary practice location

7013 Evans Town Center Blvd Ste 201
Evans, GA 30809-5131

Mailing address

7013 Evans Town Center Blvd Ste 201
Evans, GA 30809-5131
Phone (706) 651-0202

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
MT000543GAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Therapeutic Massage LLC Mechanotherapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1033350376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD STE 201",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095131",
            "telephone_number": "706-651-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD STE 201",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095131",
            "telephone_number": "706-651-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ASHLEY",
        "credential": "NCTMB, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.