Ursula Jacinta Edwards, LMT, CNMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT003516

Practice address

500 Lanier Ave W Ste 411
Fayetteville, GA 30214-7638

Phone

(404) 765-0798

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massage Therapeutics, Inc Center for Wellness

  • Clinic/Center
  • Fayetteville, GA
  • NPI 1376728154
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1205487725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 411",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147638",
            "telephone_number": "404-765-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 411",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147638",
            "telephone_number": "404-765-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "URSULA",
        "middle_name": "JACINTA",
        "credential": "LMT, CNMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": "MT003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagetherapeuticsinc.com",
            "affiliation": "N",
            "address_1": "500 Lanier Ave W Ste 411",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302147638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Edmond-Carroll
• Anastasia Edouard, RBT
• Jeffrey Lamont Edwards, LMT
• Patricia Ann Edwards, FNP-C
• Rasheid Edwards
• Lindsay Ehlers, PA-C
• Grace Ada Nduka Eke
• Tammie El-Shabazz, LMT
• Elite Medical Equipment & Supply Company LLC
• Elite Medical Equipment and Supply Company LLC

• Mechanotherapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mechanotherapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.