Individual provider Active NPI

Tamanika M Oda, LMT

  • Massage Therapist
  • East Point, GA
National Provider Identifier
1629574546
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
3485 N Desert Dr Ste 100
East Point, GA 30344-5724
Phone
(404) 855-1612
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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 GA Primary

Addresses

Primary practice location

3485 N Desert Dr Ste 100
East Point, GA 30344-5724

Mailing address

PO Box 370343
Decatur, GA 30037-0343
Phone (404) 855-1612

Other practice location 1

2012 Friendly Heights Blvd
Decatur, GA 30035-4155
Phone (404) 855-1612

Other practice location 2

2532 S Hairston Rd
Decatur, GA 30035-2946
Phone (404) 855-1612

Other practice location 3

675 Metropolitan Pkwy SW
Atlanta, GA 30310-2096
Phone (404) 855-1612

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

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1629574546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370343",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300370343",
            "telephone_number": "404-855-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 N DESERT DR STE 100",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445724",
            "telephone_number": "404-855-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Friendly Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354155",
            "country_code": "US",
            "telephone_number": "404-855-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2532 S Hairston Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300352946",
            "country_code": "US",
            "telephone_number": "404-855-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Metropolitan Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102096",
            "country_code": "US",
            "telephone_number": "404-855-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODA",
        "first_name": "TAMANIKA",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.