Individual provider Active NPI

Satish Nair, N.D, LMT,MMT

  • Massage Therapist
  • Lawrenceville, GA
National Provider Identifier
1609946177
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NCTMB 40193100 Issued in GA
Practice address
2841 Club Dr
Lawrenceville, GA 30044-3224
Phone
(678) 558-5776
Fax
(678) 807-2843
NPI assigned
Nov 9, 2006
Last updated
Sep 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 NCTMB 40193100 GA Primary

Addresses

Primary practice location

2841 Club Dr
Lawrenceville, GA 30044-3224

Mailing address

2841 Club Dr
Lawrenceville, GA 30044-3224
Phone (678) 558-5776

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
NCTMB 40193100GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1609946177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 CLUB DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443224",
            "telephone_number": "678-558-5776",
            "fax_number": "678-807-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 CLUB DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443224",
            "telephone_number": "678-558-5776",
            "fax_number": "678-807-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SATISH",
        "name_prefix": "Mr.",
        "credential": "N.D, LMT,MMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "NCTMB 40193100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.