Active NPI
Alysia Blair
- Nurse Massage Therapist (NMT)
- Kennesaw, GA
National Provider Identifier
1609737717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- RN249434
- Practice address
- 1635 Old 41 Hwy NW Ste 401
Kennesaw, GA 30152-4482 - Phone
- (678) 403-2970
- NPI assigned
- Nov 19, 2025
- 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 |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | RN249434 | GA | Primary |
Addresses
Primary practice location
1635 Old 41 Hwy NW Ste 401
Kennesaw, GA 30152-4482
Mailing address
20 Aspen LN SE
Cartersville, GA 30120-7515
Phone (404) 909-3997
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 |
|---|---|---|---|
| RN249434 | GA | MD | Nurse Massage Therapist (NMT) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1609737717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ASPEN LN SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207515",
"telephone_number": "404-909-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 OLD 41 HWY NW STE 401",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524482",
"telephone_number": "678-403-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "ALYSIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "GA",
"license": "RN249434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.