Individual provider Active NPI

Karl Chambers, LMT / NMT

  • Mechanotherapist
  • Atlanta, GA
National Provider Identifier
1336457167
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT002968 Issued in GA
Practice address
120 Ralph McGill Blvd NE
#608
Atlanta, GA 30308-3347
Phone
(770) 899-7511
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT002968 GA Primary
Health Educator 174H00000X MT002968 GA

Addresses

Primary practice location

120 Ralph McGill Blvd NE
#608
Atlanta, GA 30308-3347

Mailing address

PO Box 56092
Atlanta, GA 30343-0092
Phone (770) 899-7511

Other names 1

  • Spatouch Mobile Professional name

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
MT002968GAMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1336457167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56092",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303430092",
            "telephone_number": "770-899-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RALPH MCGILL BLVD NE",
            "address_2": "#608",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083347",
            "telephone_number": "770-899-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KARL",
        "name_prefix": "Mr.",
        "credential": "LMT / NMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT002968",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GA",
            "license": "MT002968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SPATOUCH",
            "last_name": "MOBILE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Sep 14, 2010; 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.