Demitra Rogers, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011640 Issued in GA

Practice address

860 Duluth Hwy Ste 152
Lawrenceville, GA 30043-5336

Phone

(678) 886-4759

Fax

(678) 886-4759

NPI assigned

Mar 16, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Intention Massage and Skincare LLC

  • Massage Therapist
  • Atlanta, GA
  • NPI 1912520354
  NPD Authorized official

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1306305602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303330145",
            "telephone_number": "678-886-4759",
            "fax_number": "678-886-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DULUTH HWY STE 152",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435336",
            "telephone_number": "678-886-4759",
            "fax_number": "678-886-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DEMITRA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosendo Rodriguez
• Veronica Rodriguez, MD
• Yasser Rodriguez, MD,MBA
• Marie C Rogers-Ward, MA CCC-SLP
• Brandy Leilani Rogers, LPC
• Hope Christine Rohr, CNM
• Ashton Lee Rohrschneider, DO
• N'Kyla Rolland
• Aimee Monique Roller, R.PH.
• Anne M Roller, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.