Active NPI
Laura S Dyer, L.M.T.
- Mechanotherapist
- Dalton, GA
National Provider Identifier
1598088692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT001551
- Practice address
- 1510 N Thornton Ave
Ste. 214
Dalton, GA 30720-8517 - Phone
- (706) 275-0543
- NPI assigned
- Mar 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT001551 | GA | Primary |
Addresses
Primary practice location
1510 N Thornton Ave
Ste. 214
Dalton, GA 30720-8517
Mailing address
1510 N Thornton Ave
Ste. 214
Dalton, GA 30720-8517
Phone (706) 275-0543
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT001551 | GA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1598088692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 N THORNTON AVE",
"address_2": "STE. 214",
"city": "DALTON",
"state": "GA",
"postal_code": "307208517",
"telephone_number": "706-275-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 N THORNTON AVE",
"address_2": "STE. 214",
"city": "DALTON",
"state": "GA",
"postal_code": "307208517",
"telephone_number": "706-275-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "LAURA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "GA",
"license": "MT001551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.