Marilyn Sandra Botta, MARILYN BOTTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT006157 Issued in GA

Practice address

304 Caldwell Cir
Augusta, GA 30909-5728

Phone

(706) 231-5008

NPI assigned

Jun 20, 2011

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 names 1

• Ms. Marilyn Sandra Botta Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1588959480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CALDWELL CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095728",
            "telephone_number": "706-231-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CALDWELL CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095728",
            "telephone_number": "706-231-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTA",
        "first_name": "MARILYN",
        "middle_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "MARILYN BOTTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "BOTTA",
            "middle_name": "SANDRA",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlan Boswell, NP
• Karen Pruitt Boswell, PH.D.
• Alfredo Botet, MD
• Jordan Bothwell, MD
• Andrew Botros, DO
• Alissa Dean Bottoms
• Melissa Bou Jaoude, MD
• Michele Dupuis Bouchard, LPC
• Cheryl Joyce Boucher, LPC
• Yasir Hamzeh Bouchi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.