Massage Therapeutics, Inc Center for Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MT003516 Issued in GA

Legal business name

MASSAGE THERAPEUTICS, INC CENTER FOR WELLNESS

Practice address

500 Lanier Ave W Ste 411
Fayetteville, GA 30214-7638

Phone

(404) 765-0798

NPI assigned

Dec 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ursula Jacinta Edwards Ellerby, LMT, NMT

Title

Ceo/Neuromuscular Therapist

Phone

(404) 765-0798

Specialties & licenses 1

Addresses

Other names 1

• Ursula J. Edwards Ellerby Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ursula Jacinta Edwards, LMT, CNMT

  • Mechanotherapist
  • Fayetteville, GA
  • NPI 1205487725
  NPD (past)

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1376728154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8299 DEWAYNE LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363710",
            "telephone_number": "404-765-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 411",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147638",
            "telephone_number": "404-765-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE THERAPEUTICS, INC CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-30",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS ELLERBY",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "JACINTA",
        "authorized_official_title_or_position": "CEO/NEUROMUSCULAR THERAPIST",
        "authorized_official_telephone_number": "404-765-0798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, NMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "MT003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ursula J. Edwards Ellerby",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Stone Martinez, LPC
• Anthony Marzano, AA
• Joanne Masanotti
• Sharon Joy Mascoe-Maxwell, RD., LD.
• Jarrett Evan Mask
• Deanna Mathis, RBT
• Jessica Nicole Mathis, FNP-C
• Rashunda Mathis, RBT
• Matter of Focus Counseling LLC
• Catherine Aubrey Mauney, A-GNP

• Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.