Individual provider Active NPI

Ronald Snow, MASSAGE THERAPIST

  • Contractor
  • Atlanta, GA
National Provider Identifier
1306205562
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MT001916 Issued in GA
Practice address
800 Peachtree St NE Apt 1310
Atlanta, GA 30308-6027
Phone
(205) 362-1877
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MT001916 GA Primary
Contractor 171W00000X MASSAGE 1666 AL

Addresses

Primary practice location

800 Peachtree St NE Apt 1310
Atlanta, GA 30308-6027

Mailing address

800 Peachtree St NE Apt 1310
Atlanta, GA 30308-6027
Phone (205) 362-1877

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

LicenseStateTypeSpecialty
MASSAGE 1666ALMDContractor
MT001916GAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1306205562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEACHTREE ST NE APT 1310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303086027",
            "telephone_number": "205-362-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEACHTREE ST NE APT 1310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303086027",
            "telephone_number": "205-362-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "RONALD",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "MT001916",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AL",
            "license": "MASSAGE 1666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 16, 2016; 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.