Active NPI
Toni Hale-Tinner
- Massage Therapist
- Baxley, GA
National Provider Identifier
1104542364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT004305
- Practice address
- 24 Glendale Ave Ste F
Baxley, GA 31513-0245 - Phone
- (850) 725-3061
- Fax
- (912) 705-3061
- NPI assigned
- Oct 18, 2022
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 | MT004305 | GA | Primary |
Addresses
Primary practice location
24 Glendale Ave Ste F
Baxley, GA 31513-0245
Mailing address
24 Glendale Ave Ste F
Baxley, GA 31513-0245
Phone (850) 725-3061
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://tissueissueinc.com/ |
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 |
|---|---|---|---|
| MT004305 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tissue Issue Inc | Massage Therapist | Current | Accepting new patients |
Locations
24 Glendale Ave
Ste F
Baxley, GA 31513
Phone (850) 725-3061
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Baxley, GA
- NPI 1841917382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1104542364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GLENDALE AVE STE F",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130245",
"telephone_number": "850-725-3061",
"fax_number": "912-705-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 GLENDALE AVE STE F",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130245",
"telephone_number": "850-725-3061",
"fax_number": "912-705-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE-TINNER",
"first_name": "TONI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT004305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://tissueissueinc.com/",
"affiliation": "N",
"address_1": "24 Glendale Ave Ste F",
"city": "Baxley",
"state": "GA",
"country_code": "US",
"postal_code": "315130245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baxley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.