Individual provider Active NPI

Ursula Foster, MASSAGE THERAPIST

  • Massage Therapist
  • Stone Mountain, GA
National Provider Identifier
1033784467
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT006247 Issued in GA
Practice address
6670 James B Rivers
Suite 100
Stone Mountain, GA 30083
Phone
(706) 461-2853
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT006247 GA Primary

Addresses

Primary practice location

6670 James B Rivers
Suite 100
Stone Mountain, GA 30083

Mailing address

1187 Park Blvd
Stone Mountain, GA 30083-2213

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.relaxingvibrationsspa.com Other

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
MT006247GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1033784467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 PARK BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 JAMES B RIVERS",
            "address_2": "SUITE 100",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "706-461-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "URSULA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.relaxingvibrationsspa.com",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Schedule appointments",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Exclusive email and website",
            "address_1": "6670 James B Rivers",
            "address_2": "Suite 100",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.