Kimberly Hackaday

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011125 Issued in GA

Practice address

1557 Buford Dr Unit 491811
Lawrenceville, GA 30049-0137

Phone

(412) 996-0843

NPI assigned

May 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breathe to Wellness LLC

  • Massage Therapist
  • Duluth, GA
  • NPI 1013443126
  NPD Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1619769742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 BUFORD DR UNIT 491811",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 BUFORD DR UNIT 491811",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490137",
            "telephone_number": "412-996-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKADAY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnnett Hospital System, Inc.
• Judith Gyasi
• Shawn James Gyke, CCC-SLP
• Steven Ngoc Ha, MD
• Bethel Habte
• Jenai Hackett, LPC
• Keely Michele Hackney, M.S., BCBA
• Sonja Hadavi
• Abdul Hafeez, MD
• Christopher T Hagenstad, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.