Active NPI
Nathan Gabriel Manarang San Felipe
- Massage Therapist
- Covington, GA
National Provider Identifier
1043129190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010892
- Practice address
- 7193 Industrial Blvd NE
Covington, GA 30014-1478 - Phone
- (770) 788-8222
- NPI assigned
- Sep 3, 2026
- 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 | MT010892 | GA | Primary |
Addresses
Primary practice location
7193 Industrial Blvd NE
Covington, GA 30014-1478
Mailing address
30 Katelen CT
Covington, GA 30016-7720
Other practice location 1
8230 Hazelbrand Rd NE Ste A
Covington, GA 30014-1519
Phone (770) 402-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1043129190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 KATELEN CT",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300167720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7193 INDUSTRIAL BLVD NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300141478",
"telephone_number": "770-788-8222"
}
],
"practiceLocations": [
{
"address_1": "8230 Hazelbrand Rd NE Ste A",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300141519",
"country_code": "US",
"telephone_number": "770-402-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAN FELIPE",
"first_name": "NATHAN GABRIEL",
"middle_name": "MANARANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT010892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.