Active NPI
Katherine Emily-Frances Healy, LMT
- Mechanotherapist
- Woodstock, GA
National Provider Identifier
1306012471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT004611
- Practice address
- 129 Mirramont Lake Dr
Woodstock, GA 30189-8215 - Phone
- (404) 725-1274
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT004611 | GA | Primary |
Addresses
Primary practice location
129 Mirramont Lake Dr
Woodstock, GA 30189-8215
Mailing address
735 Cannon Crse SW
Marietta, GA 30064-2843
Phone (770) 726-9097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT004611 | GA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1306012471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 CANNON CRSE SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642843",
"telephone_number": "770-726-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MIRRAMONT LAKE DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898215",
"telephone_number": "404-725-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "KATHERINE",
"middle_name": "EMILY-FRANCES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "GA",
"license": "MT004611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.