Johanna Stoisavlejevic, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT012084 Issued in GA

Practice address

951 Elma G Miles Pkwy
Ste B
Hinesville, GA 31313

Phone

(912) 876-2206

Fax

(912) 877-4030

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

No

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.

• Hinesville Day Spa LLC

  • Massage Therapist
  • Hinesville, GA
  • NPI 1558982660
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2020.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1164043337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ELMA G MILES PKWY",
            "address_2": "STE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-2206",
            "fax_number": "912-877-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ELMA G MILES PKWY",
            "address_2": "STE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-2206",
            "fax_number": "912-877-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOISAVLEJEVIC",
        "first_name": "JOHANNA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Step Easy Medical Supply LLC
• Robert Grier Stephens IV, PH.D.
• Jamie Carolyn Steup
• Brian Raymond Stewart
• Aiyesha Quante Stiles, APRN
• Jamiya M Stokes Roberts
• Kathryn Elise Strickland, NP
• Latrice Sturghill, M.S, QBA, LBA
• Thaxton Sullivan
• Kayleen Sulton

• All providers in Hinesville, GA
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.