NPIMap

Organization Active NPI

Massage Cocoon

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1174928394
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT006720 Issued in GA
Legal business name
MASSAGE COCOON
Doing business as
The Buckhead Massage Company
Practice address
480 E Paces Ferry Rd NE
Suite 7
Atlanta, GA 30305-3324
Phone
(404) 495-0751
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Gordana Kresic, LMT
Title
Owner
Phone
(404) 399-5482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT006720 GA Primary

Addresses

Primary practice location

480 E Paces Ferry Rd NE
Suite 7
Atlanta, GA 30305-3324

Mailing address

480 E Paces Ferry Rd NE
Suite 7
Atlanta, GA 30305-3324
Phone (404) 495-0751

Other names 1

  • The Buckhead Massage Company Doing business as

National Provider Directory

National Provider Directory

Locations

480 E Paces Ferry Rd NE
Ste 7
Atlanta, GA 30305
Phone (404) 495-0751

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1174928394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E PACES FERRY RD NE",
            "address_2": "SUITE 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053324",
            "telephone_number": "404-495-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E PACES FERRY RD NE",
            "address_2": "SUITE 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053324",
            "telephone_number": "404-495-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE COCOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "KRESIC",
        "authorized_official_first_name": "GORDANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-399-5482",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Buckhead Massage Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.