Individual provider Active NPI

Christal Love, LMT

  • Massage Therapist
  • Fayetteville, GA
National Provider Identifier
1427308378
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT011290 Issued in GA
Practice address
220 Banks Xing
Fayetteville, GA 30214-7814
Phone
(770) 716-9121
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2015042566 MO
Massage Therapist 225700000X MA101050 FL
Massage Therapist 225700000X MT011290 GA Primary

Addresses

Primary practice location

220 Banks Xing
Fayetteville, GA 30214-7814

Mailing address

5240 Katherine Village Dr
Ellenwood, GA 30294-4345
Phone (770) 282-7081

Other practice location 1

5240 Katherine Village Dr
Ellenwood, GA 30294-4345
Phone (770) 282-7081

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
MA101050FLMDMassage Therapist
MT011290GAMDMassage Therapist
2015042566MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Physical Therapy Past Accepting new patients
Prolevel Recovery LLC PastSince Jun 15, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1427308378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 KATHERINE VILLAGE DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944345",
            "telephone_number": "770-282-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BANKS XING",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147814",
            "telephone_number": "770-716-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 Katherine Village Dr",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302944345",
            "country_code": "US",
            "telephone_number": "770-282-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "CHRISTAL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2015042566",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA101050",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.