Tara Thompson, LMT,CD,CBE,CPD

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003160 Issued in GA

Practice address

4390 Bells Ferry Rd NW
Kennesaw, GA 30144-1354

Phone

(770) 380-6364

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1407691751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BROOKHAVEN CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022190",
            "telephone_number": "770-380-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 BELLS FERRY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441354",
            "telephone_number": "770-380-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "credential": "LMT,CD,CBE,CPD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Michael Thompson, NURSE PRACTITIONER
• Jennifer Lynn Thompson, LPC
• Jordan Thompson, CAA
• Madalyn Thompson
• Tara Thompson, PHARMD.
• John Taylor Thornhill, D.C.
• Claire Elizabeth Worthy Thornton, D.M.D.
• Isaiah Thornton
• Mia Thorp
• Thrive Family Chiropractic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.