Individual provider Active NPI

Bridget A. Hayes, LMT

  • Massage Therapist
  • Stone Mountain, GA
National Provider Identifier
1568948172
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT011165 Issued in GA
Practice address
1324 Rockbridge Rd
Stone Mountain, GA 30087-3174
Phone
(678) 390-5096
NPI assigned
Jul 17, 2018
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 MT011165 GA Primary

Addresses

Primary practice location

1324 Rockbridge Rd
Stone Mountain, GA 30087-3174

Mailing address

PO Box 1001
Pine Lake, GA 30072-1001
Phone (678) 390-5096

Other practice location 1

5950 Hugh Howell Rd Ste C
Stone Mountain, GA 30087-2440
Phone (678) 390-5093

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Akello Life, Inc Massage Therapist CurrentSince Feb 26, 2019 Accepting new patients

Locations

5950 Hugh Howell Rd
Ste C
Stone Mountain, GA 30087
Phone (678) 390-5093

1324 Rockbridge Rd
Stone Mtn, GA 30087
Phone (678) 390-5096

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1568948172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "PINE LAKE",
            "state": "GA",
            "postal_code": "300721001",
            "telephone_number": "678-390-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873174",
            "telephone_number": "678-390-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Hugh Howell Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300872440",
            "country_code": "US",
            "telephone_number": "678-390-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BRIDGET",
        "middle_name": "A.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.