Individual provider Active NPI

Gerardo Enrique Nader Jaspe, LMT

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1467267351
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT014366 Issued in GA
Practice address
3133 Maple Dr NE Ste 120
Atlanta, GA 30305-2509
Phone
(404) 220-7770
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT014366 GA Primary

Addresses

Primary practice location

3133 Maple Dr NE Ste 120
Atlanta, GA 30305-2509

Mailing address

4600 Roswell Rd BLDG H233
Sandy Springs, GA 30342-3015
Phone (678) 855-2873

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
MT014366GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1467267351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ROSWELL RD BLDG H233",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303423015",
            "telephone_number": "678-855-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 MAPLE DR NE STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052509",
            "telephone_number": "404-220-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER JASPE",
        "first_name": "GERARDO",
        "middle_name": "ENRIQUE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT014366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2025; 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.