Individual provider Active NPI

Valery E.E Laroche, MMP

  • Massage Therapist
  • Sandy Springs, GA
National Provider Identifier
1154934339
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT005950 Issued in GA
Practice address
5944 Roswell Rd
Sandy Springs, GA 30328-4908
Phone
(404) 236-7291
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 MT005950 GA Primary

Addresses

Primary practice location

5944 Roswell Rd
Sandy Springs, GA 30328-4908

Mailing address

2085 Roswell Rd Apt 333
Marietta, GA 30062-7519
Phone (770) 330-5052

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
MT005950GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivace Health & Wellness, Inc Massage Therapist PastSince Aug 30, 2020 Accepting new patients

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1154934339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 ROSWELL RD APT 333",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627519",
            "telephone_number": "770-330-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284908",
            "telephone_number": "404-236-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCHE",
        "first_name": "VALERY",
        "middle_name": "E.E",
        "name_prefix": "Mr.",
        "credential": "MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT005950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.