Individual provider Active NPI

Hamrawit Tsegaye, CMT

  • Mechanotherapist
  • Tucker, GA
National Provider Identifier
1124345475
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT003241 Issued in GA
Practice address
4880 Lawrenceville Hwy
Suite 13
Tucker, GA 30084-2938
Phone
(770) 912-1204
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT003241 GA Primary

Addresses

Primary practice location

4880 Lawrenceville Hwy
Suite 13
Tucker, GA 30084-2938

Mailing address

2509 Pierce Cir
Snellville, GA 30078-5768
Phone (770) 912-1204

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
MT003241GAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1124345475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PIERCE CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785768",
            "telephone_number": "770-912-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LAWRENCEVILLE HWY",
            "address_2": "SUITE 13",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842938",
            "telephone_number": "770-912-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEGAYE",
        "first_name": "HAMRAWIT",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT003241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.