Individual provider Active NPI

Edward K Wright, LMBT

  • Massage Therapist
  • Augusta, GA
National Provider Identifier
1588286371
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT012460 Issued in GA
Practice address
1930 Highland Ave Ste a
Augusta, GA 30904-7803
Phone
(706) 481-9105
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 MT012460 GA Primary

Addresses

Primary practice location

1930 Highland Ave Ste a
Augusta, GA 30904-7803

Mailing address

1315 Marks Church Rd Apt A1
Augusta, GA 30909-2684
Phone (704) 728-3170

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
MT012460GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Physical Therapy Centers, Inc. CurrentSince May 17, 2020 Accepting new patients

Locations

1930 Highland Ave
Ste A
Augusta, GA 30904
Phone (706) 481-9105

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1588286371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MARKS CHURCH RD APT A1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092684",
            "telephone_number": "704-728-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HIGHLAND AVE STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047803",
            "telephone_number": "706-481-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "EDWARD",
        "middle_name": "K",
        "credential": "LMBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.