Tonja J Connally, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT004420 Issued in GA

Practice address

4935 Stewart Mill Rd
Ste 101
Douglasville, GA 30135-6733

Phone

(678) 838-4433

Fax

(678) 838-4093

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lighthouse Family Chiropractic, P.C.

  • Chiropractor
  • Douglasville, GA
  • NPI 1407032840
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1043492333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLIFF CT",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804598",
            "telephone_number": "404-754-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 STEWART MILL RD",
            "address_2": "STE 101",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356733",
            "telephone_number": "678-838-4433",
            "fax_number": "678-838-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLY",
        "first_name": "TONJA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT004420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concentra
• Concord Pathways Institute, LLC
• Concordia Healthcare Services Inc
• Congenial Care Partners LLC
• Val A. Conkey, LPC
• Antigone Menyon Constantine
• Lorraine Cook
• Natasha Cook
• Darren L. Cooper, DSW, LCSW
• Lauren Cooper, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.