Organization Active NPI

Atlas Mobile Massage Therapy, LLC

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1154807972
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ATLAS MOBILE MASSAGE THERAPY, LLC
Practice address
4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Phone
(904) 683-4373
NPI assigned
Jul 15, 2018
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mrs. Latoya C Ashley
Title
Managing Member
Phone
(904) 683-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Mailing address

9802 Baymeadows Road
Suite 12 Box 172
Jacksonville, FL 32256
Phone (904) 683-4373

National Provider Directory

National Provider Directory

Locations

9802 Baymeadows Rd
Ste 12
Jacksonville, FL 32256
Phone (904) 443-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1154807972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 BAYMEADOWS ROAD",
            "address_2": "SUITE 12 BOX 172",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-683-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566187",
            "telephone_number": "904-683-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MOBILE MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-15",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-683-4373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.