Kala Evans, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT008487 Issued in GA

Practice address

1075 Peachtree St NE Unit 3118
Atlanta, GA 30309-3912

Phone

(770) 765-1076

NPI assigned

Jul 31, 2012

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atl Bodyworks , LLC

  • Massage Therapist
  • Atlanta, GA
  • NPI 1184209975
  NPD Authorized official

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1588910145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12187",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303552187",
            "telephone_number": "404-642-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE ST NE UNIT 3118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093912",
            "telephone_number": "770-765-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2585 Gilberts Bch",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301358948",
            "country_code": "US",
            "telephone_number": "404-642-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KALA",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT008487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588910145",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "endpointDescription": "info@atlbodyworksco.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atlanta",
            "address_1": "1075 Peachtree St NE Unit 3118",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faye M Evans, M.D.
• Jason Lamar Evans, FNP
• Jimmy Evans, LMSW, MHA
• Julia Caroline Evans
• Justin S Evans
• Katherine Evans
• Katherine Abraham Evans, NP
• Katherine Raulston Evans
• Keith E. Evans, P.T., DPT
• Lalah Farshy Evans, MHS, OTR/L

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.