Active NPI
Martha Juliet Webb, CTRS
- Recreation Therapist
- Villa Rica, GA
National Provider Identifier
1063167633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 61329
- Practice address
- 3485 Laurel Springs CV
Villa Rica, GA 30180-3391 - Phone
- (334) 507-8370
- NPI assigned
- Feb 12, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 61329 | GA | Primary |
Addresses
Primary practice location
3485 Laurel Springs CV
Villa Rica, GA 30180-3391
Mailing address
3485 Laurel Springs CV
Villa Rica, GA 30180-3391
Phone (334) 507-8370
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 |
|---|---|---|---|
| 61329 | GA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1063167633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 LAUREL SPRINGS CV",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803391",
"telephone_number": "334-507-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 LAUREL SPRINGS CV",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803391",
"telephone_number": "334-507-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MARTHA",
"middle_name": "JULIET",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "GA",
"license": "61329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
- Julie G Warren, FNP
- Charis Re'Nee Warwick-Davis, THERAPIST
- Kari Watts
- Jayla Weaver, M.S., CCC-SLP
- Kendra Webb-Muhammad, LPC
- Wellstar Douglasville Medical Center at Villa Rica, LLC
- Wellstart Medical, LLC
- West Georgia Christian Counseling, LLC
- West Georgia Diagnostic Testing LLC
- West Georgia Family Medicine Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.