Individual provider Active NPI

Amelia Houlihan, LMT

  • Massage Therapist
  • Alpharetta, GA
National Provider Identifier
1649852211
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT013499 Issued in GA
Practice address
6110 McFarland Station Dr Unit 400
Alpharetta, GA 30004-6806
Phone
(770) 851-9890
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 MT013499 GA Primary

Addresses

Primary practice location

6110 McFarland Station Dr Unit 400
Alpharetta, GA 30004-6806

Mailing address

6215 Creekstone Path
Cumming, GA 30041-6001
Phone (770) 680-3689

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
MT013499GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Sports Medicine LLC CurrentSince Apr 25, 2021 Accepting new patients

Locations

6110 McFarland Station Dr
Unit 400
Alpharetta, GA 30004
Phone (770) 851-9890

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1649852211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 CREEKSTONE PATH",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416001",
            "telephone_number": "770-680-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MCFARLAND STATION DR UNIT 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046806",
            "telephone_number": "770-851-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULIHAN",
        "first_name": "AMELIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.