Patti Denike, NCTMB THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT000089 Issued in GA

Practice address

44 Cottonwood St
Clayton, GA 30525-0000

Phone

(706) 490-3149

Fax

(706) 782-5266

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Art Therapy Center

  • Community/Behavioral Health Agency
  • Clayton, GA
  • NPI 1154464006
  NPD (past)
• Family Art Therapy Center PC

  • Professional Counselor
  • Clayton, GA
  • NPI 1609916147
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1114107117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "LAKEMONT",
            "state": "GA",
            "postal_code": "305520007",
            "telephone_number": "706-490-3149",
            "fax_number": "706-782-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COTTONWOOD ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305250000",
            "telephone_number": "706-490-3149",
            "fax_number": "706-782-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIKE",
        "first_name": "PATTI",
        "credential": "NCTMB THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT000089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ann Corella, FNP
• Erika Czerwinski, PSY.D.
• Danny Stevens Hammons (Home Respiratory Services)
• Tracy Ellen Dasher
• James Todd Davidson, CARES, CPS-AD
• Dental Professionals of Georgia, P.C. (Dental Care of Clayton)
• Jennifer Deslich, O.T.
• Veronica Dono, P.T.
• Kathy Donovan
• Allison Dooley, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.