Crystal Marie Rivers-Harrell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011858

Practice address

94 Stone Wall Way
Hiram, GA 30141-4582

Phone

(404) 771-9217

NPI assigned

Sep 6, 2020

Last updated

Sep 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1487268439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STONE WALL WAY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414582",
            "telephone_number": "404-771-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STONE WALL WAY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414582",
            "telephone_number": "404-771-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS-HARRELL",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MT011858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Physical Therapy, LLC.
• Camelia Gregory Revels
• Roderick Rhyant, MD
• Elizabeth L Riley, LPC
• Parin Pearl Rimtepathip, M.D.
• Daniel Victor Roberts, D.C.
• Frank J Robinson
• Shanel Benzina Robinson, MS, LPC, NCC, CCMHC
• Christy Dawn Rooker, RN
• Deja Renee Rose, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.