Individual provider Active NPI

Nadia Bertin

  • Massage Therapist
  • Warner Robins, GA
National Provider Identifier
1114548641
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT007785 Issued in GA
Practice address
1103 Russell Pkwy
Warner Robins, GA 31088-5537
Phone
(478) 922-4091
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT007785 GA Primary

Addresses

Primary practice location

1103 Russell Pkwy
Warner Robins, GA 31088-5537

Mailing address

209 Picketts Mill CT
Bonaire, GA 31005-3770
Phone (478) 230-5201

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

LicenseStateTypeSpecialty
MT007785GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Spinal Care PC CurrentSince May 10, 2020 Accepting new patients

Locations

1103 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 922-4091

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1114548641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PICKETTS MILL CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053770",
            "telephone_number": "478-230-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885537",
            "telephone_number": "478-922-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTIN",
        "first_name": "NADIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT007785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.