Sarah Reynolds, LMT, COTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT005184 Issued in GA

Practice address

1244 Defoor Village CT NW Apt 431
Atlanta, GA 30318-2994

Phone

(678) 598-7823

NPI assigned

Oct 4, 2018

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1235604380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 DEFOOR VILLAGE CT NW APT 431",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182994",
            "telephone_number": "678-598-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 DEFOOR VILLAGE CT NW APT 431",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182994",
            "telephone_number": "678-598-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARAH",
        "credential": "LMT, COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002443",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT005184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@clinicalmassagecare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1244 Defoor Village Ct NW Apt 431",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303182994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madgie Boddie Reynolds, RN
• Matthias John Reynolds, LMFT, MAR
• Mona Elaine Reynolds, D C
• Pamela Hlis Reynolds, DDS
• Roger Reynolds
• Spencer W Reynolds
• Steven Reynolds
• Yesim Reynolds, LPC
• Anahita Rezaee
• Sanaz Rezaei, LPC

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.