Active NPI
George Cheng
- Massage Therapist
- Marietta, GA
National Provider Identifier
1033769807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT012689
- Practice address
- 62 Shawnee TRL SE
Marietta, GA 30067-7316 - Phone
- (770) 971-8115
- Fax
- (678) 878-2330
- NPI assigned
- Sep 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT012689 | GA | Primary |
Addresses
Primary practice location
62 Shawnee TRL SE
Marietta, GA 30067-7316
Mailing address
62 Shawnee TRL SE
Marietta, GA 30067-7316
Phone (770) 971-8115
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ChiroTouch | JUST HEALTH LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT012689 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1033769807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 SHAWNEE TRL SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300677316",
"telephone_number": "770-971-8115",
"fax_number": "678-878-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 SHAWNEE TRL SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300677316",
"telephone_number": "770-971-8115",
"fax_number": "678-878-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "GEORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-13",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT012689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ChiroTouch",
"affiliation": "Y",
"endpointDescription": "Medical Software",
"affiliationName": "JUST HEALTH LLC",
"address_1": "62 Shawnee Trl SE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300677316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.