Active NPI
Marilyn Santiago, LMT
- Massage Therapist
- Decatur, GA
National Provider Identifier
1487987277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT006080
- Practice address
- 4294 Memorial Dr
Ste D
Decatur, GA 30032-1226 - Phone
- (404) 296-4888
- Fax
- (404) 296-8811
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- 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 | MT006080 | GA | Primary |
Addresses
Primary practice location
4294 Memorial Dr
Ste D
Decatur, GA 30032-1226
Mailing address
4294 Memorial Dr
Ste D
Decatur, GA 30032-1226
Phone (404) 296-4888
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 |
|---|---|---|---|
| MT006080 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Injury Center LLC. | Past | Accepting new patients |
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.
-
- Chiropractor
- Decatur, GA
- NPI 1003067828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1487987277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4294 MEMORIAL DR",
"address_2": "STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321226",
"telephone_number": "404-296-4888",
"fax_number": "404-296-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4294 MEMORIAL DR",
"address_2": "STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321226",
"telephone_number": "404-296-4888",
"fax_number": "404-296-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MARILYN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT006080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.