Active NPI
Randy Cabil, MASSAGE THERAPIST
- Massage Therapist
- Lawrenceville, GA
National Provider Identifier
1487174223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MTO10435
- Practice address
- 333 Swanson Dr Ste 102
Lawrenceville, GA 30043-8537 - Phone
- (678) 878-3069
- Fax
- (678) 878-4455
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 | MTO10435 | GA | Primary |
Addresses
Primary practice location
333 Swanson Dr Ste 102
Lawrenceville, GA 30043-8537
Mailing address
PO Box 490186
Lawrenceville, GA 30049-0004
Phone (678) 878-3069
Other practice location 1
3400 McClure Bridge Rd Ste C304
Duluth, GA 30096-8706
Phone (678) 878-3069
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 |
|---|---|---|---|
| MTO10435 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Total Health Connection LLC | Current | Accepting new patients |
Locations
3400 McClure Bridge Rd
Ste C304
Duluth, GA 30096
Phone (678) 878-3069
333 Swanson Dr
Ste 102
Lawrenceville, GA 30043
Phone (678) 878-3069
Organizations & group practices 1
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.
-
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- Lawrenceville, GA
- NPI 1861726275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487174223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490186",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300490004",
"telephone_number": "678-878-3069",
"fax_number": "678-878-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SWANSON DR STE 102",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438537",
"telephone_number": "678-878-3069",
"fax_number": "678-878-4455"
}
],
"practiceLocations": [
{
"address_1": "3400 McClure Bridge Rd Ste C304",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300968706",
"country_code": "US",
"telephone_number": "678-878-3069",
"fax_number": "678-878-4455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABIL",
"first_name": "RANDY",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2022-07-21",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MTO10435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.