Justin Daniel Bennitts, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011129 Issued in GA

Practice address

354 Newnan Crossing Byp Ste B
Newnan, GA 30265-2323

Phone

(470) 400-1980

NPI assigned

Nov 3, 2022

Sex

Male

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

• Justin Daniel Mitts Former 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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1700593274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 GORDON RD",
            "city": "MORELAND",
            "state": "GA",
            "postal_code": "302592541",
            "telephone_number": "931-257-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NEWNAN CROSSING BYP STE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652323",
            "telephone_number": "470-400-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNITTS",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "MITTS",
            "middle_name": "DANIEL",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gary Leonard Bernstein, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.