Georgia Adams, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

59205 Issued in CA

Practice address

26893 Bouquet Canyon Rd Ste F
Santa Clarita, CA 91350-2374

Phone

(661) 436-5438

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Aura Ravencraft Professional name

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1235742008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18006 DANIELSON ST APT 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876085",
            "telephone_number": "661-436-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26893 BOUQUET CANYON RD STE F",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502374",
            "telephone_number": "661-436-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "GEORGIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "59205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AURA",
            "last_name": "RAVENCRAFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Arianna Noelle Acosta
• Luis Gustavo Acosta, DDS.
• Action Family Counseling - SCV Inc
• Action Family Counseling the Ranch
• Active Lifestyle Healthcare, Inc.
• Judith S Adams, C-ANP
• Laurel Adams, RD
• Addo-Yirenkyi
• Adebola Adebimpe
• Adebola Adebimpe

• Massage Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.