Active NPI
Magdalena Escobar, PMM, MT
- Massage Therapist
- Flowery Branch, GA
National Provider Identifier
1538333299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT001463
- Practice address
- 7419 Spout Springs Rd
Suite B-102
Flowery Branch, GA 30542-5515 - Phone
- (770) 965-8259
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | MT001463 | GA | Primary |
Addresses
Primary practice location
7419 Spout Springs Rd
Suite B-102
Flowery Branch, GA 30542-5515
Mailing address
24 Country Cove Dr
Braselton, GA 30517-2633
Phone (678) 943-1475
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT001463 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1538333299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 COUNTRY COVE DR",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305172633",
"telephone_number": "678-943-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7419 SPOUT SPRINGS RD",
"address_2": "SUITE B-102",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305425515",
"telephone_number": "770-965-8259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "MAGDALENA",
"name_prefix": "Mrs.",
"credential": "PMM, MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT001463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowery Branch, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.