Individual provider Active NPI

Monique Grant, LNMT

  • Massage Therapist
  • Norcross, GA
National Provider Identifier
1538764600
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT013260 Issued in GA
Practice address
7203 Muirfield Run
Norcross, GA 30093-3396
Phone
(404) 750-5090
NPI assigned
Dec 4, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT013260 GA Primary

Addresses

Primary practice location

7203 Muirfield Run
Norcross, GA 30093-3396

Mailing address

7203 Muirfield Run
Norcross, GA 30093-3396
Phone (404) 750-5090

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Norcross

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

LicenseStateTypeSpecialty
MT013260GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1538764600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 MUIRFIELD RUN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933396",
            "telephone_number": "404-750-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 MUIRFIELD RUN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933396",
            "telephone_number": "404-750-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MONIQUE",
        "credential": "LNMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Norcross",
            "affiliation": "N",
            "address_1": "7203 Muirfield Run",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300933396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.