Active NPI
Rachel Bernadette Wright, LMT
- Massage Therapist
- Conyers, GA
National Provider Identifier
1083838304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60393
- Practice address
- 1035 Green St SE
Conyers, GA 30012-5466 - Phone
- (770) 922-7775
- Fax
- (770) 922-7775
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60393 | FL | Primary |
Addresses
Primary practice location
1035 Green St SE
Conyers, GA 30012-5466
Mailing address
1449 Cherry Hill Rd SW
Conyers, GA 30094-6822
Phone (678) 446-6246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60393 | Other | FL | MA60393 |
| MT001197 | Other | GA | GEORGIA BOARD OF MASSAGE THERAPY |
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 |
|---|---|---|---|
| MA60393 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1083838304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 CHERRY HILL RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946822",
"telephone_number": "678-446-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 GREEN ST SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125466",
"telephone_number": "770-922-7775",
"fax_number": "770-922-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "RACHEL",
"middle_name": "BERNADETTE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA60393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA60393",
"identifier": "MA60393",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF MASSAGE THERAPY",
"identifier": "MT001197",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.