Active NPI
Lisa Rose Massicotte, LMT
- Massage Therapist
- Decatur, GA
National Provider Identifier
1508725193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT015344
- Practice address
- 2836 Lavista Rd Ste D
Decatur, GA 30033-1301 - Phone
- (404) 438-6154
- NPI assigned
- Jan 19, 2026
- 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 | MT015344 | GA | Primary |
Addresses
Primary practice location
2836 Lavista Rd Ste D
Decatur, GA 30033-1301
Mailing address
625 Piedmont Ave NE Unit 1017
Atlanta, GA 30308-6204
Phone (860) 459-1919
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 |
|---|---|---|---|
| MT015344 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Art Studio LLC | Massage Therapist | 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.
-
- Massage Therapist
- Decatur, GA
- NPI 1417657115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1508725193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 PIEDMONT AVE NE UNIT 1017",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303086204",
"telephone_number": "860-459-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2836 LAVISTA RD STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331301",
"telephone_number": "404-438-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSICOTTE",
"first_name": "LISA",
"middle_name": "ROSE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT015344",
"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 Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.