Toni Evette Crosby, LMT

Key facts

NPI

1083439764

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

License

MT004243 (GA)

Practice address

2125 Loganville Hwy Ste 202
Grayson, GA 30017-1657

Phone

(404) 538-8019

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Toni Evette Crosby Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2024.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1083439764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ATHENS HWY UNIT 1-201",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524770",
            "telephone_number": "404-538-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 LOGANVILLE HWY STE 202",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171657",
            "telephone_number": "404-538-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "TONI",
        "middle_name": "EVETTE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT004243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "CROSBY",
            "middle_name": "EVETTE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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