Kathrine A Dorta, KATHRINE DORTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003005 Issued in GA

Practice address

3444 Club Dr
Lawrenceville, GA 30044-2402

Phone

(770) 330-7975

NPI assigned

Sep 8, 2009

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

Other names 1

• Kasie Dorta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1700119849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DAVIS MILL CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444635",
            "telephone_number": "770-330-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 CLUB DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442402",
            "telephone_number": "770-330-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTA",
        "first_name": "KATHRINE",
        "middle_name": "A",
        "credential": "KATHRINE DORTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASIE",
            "last_name": "DORTA",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patsy Doris, AGNP
• Bradley Dorius, DO
• Jeanette Dormio, FNP-BC
• Sheryl Dornblaser
• Keomi Dorsey, LAPC
• Fareed Dosani
• Imran Dosani, MD
• Jordan Alexandria Doss, FNP, RN
• Mariam Dosunmu, PMHNP-BC
• Daniel R Douglas, P.A.

• 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 Sep 8, 2009; 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.