Active NPI
Joseph Paul Levine, MASSAGE THERAPIST
- Massage Therapist
- Newnan, GA
National Provider Identifier
1427417294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT009510
- Practice address
- 221 Crossroads Est Dr
Newnan, GA 30265-2718 - Phone
- (240) 593-0863
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT009510 | GA | Primary |
Addresses
Primary practice location
221 Crossroads Est Dr
Newnan, GA 30265-2718
Mailing address
221 Crossroads Est Dr
Newnan, GA 30265-2718
Phone (240) 593-0863
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT009510 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1427417294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CROSSROADS EST DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652718",
"telephone_number": "240-593-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 CROSSROADS EST DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652718",
"telephone_number": "240-593-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT009510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.