Angiselis Lourdes Feliciano Martell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT014822 Issued in GA

Practice address

4408 Columbia Rd Ste 106
Martinez, GA 30907-4561

Phone

(984) 220-6394

NPI assigned

Jan 27, 2025

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

State licenses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1487467395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5093 COPSE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099850",
            "telephone_number": "984-220-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 COLUMBIA RD STE 106",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074561",
            "telephone_number": "984-220-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO MARTELL",
        "first_name": "ANGISELIS",
        "middle_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT014822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April S Evans, OTRL
• Helen Evans
• Tamela Evans, NCC, LPC, ED.D.
• Betty Jeane Exume, LPC
• Families Forward LLC
• Fenixx in Flow
• Tiffany Few
• Caroline Fickling, OTR/L
• First Focus Faith, LLC
• David Robert Charles Fisher, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.