Active NPI
Jennifer J Johnston, MT
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1689803546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT002473
- Practice address
- 181 Peachtree St
Atlanta, GA 30303-1705 - Phone
- (404) 659-0400
- NPI assigned
- Jul 13, 2009
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT002473 | GA | Primary |
Addresses
Primary practice location
181 Peachtree St
Atlanta, GA 30303-1705
Mailing address
1040 Huff Rd NW
Atlanta, GA 30318-4167
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT002473 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1689803546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 HUFF RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PEACHTREE ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031705",
"telephone_number": "404-659-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JENNIFER",
"middle_name": "J",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT002473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.