Kevin Busto

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT014272 Issued in GA

Practice address

3604 Verandah Dr
Augusta, GA 30909-5608

Phone

(706) 250-0425

NPI assigned

Mar 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cor Physical Therapy and Pilates Studio LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1548976103
  NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1053119222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 OLD TRAIL RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095608",
            "telephone_number": "706-250-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTO",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "88378",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT014272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Bussey, PHARM D
• David Alan Bussey, M.D.
• Julia Bussey
• Roberta Bussey, RN
• Freyli J Bustamante Gonzalez, MD
• Alvin Jerome Butler Sr., CHW/CRS-SA
• Beverly Butler
• Cynthia Butler, PH.D.
• Jerrio J. Butler, RN
• Kimberly Yarbrough Butler, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.