Individual provider Active NPI

Monica Medea Richardson

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1730856568
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT003968 Issued in GA
Practice address
400 Embassy Row Ste 110
Atlanta, GA 30328-5723
Phone
(770) 394-7074
NPI assigned
Aug 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 MT003968 GA Primary

Addresses

Primary practice location

400 Embassy Row Ste 110
Atlanta, GA 30328-5723

Mailing address

1036 Whitfield CT SE
Smyrna, GA 30080-2241
Phone (770) 572-1612

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

State licenses

LicenseStateTypeSpecialty
MT003968GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robin June DC, LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

400 Embassy Row
Ste 110
Sandy Springs, GA 30328
Phone (404) 578-0454

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": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1730856568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 WHITFIELD CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802241",
            "telephone_number": "770-572-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EMBASSY ROW STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285723",
            "telephone_number": "770-394-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MONICA",
        "middle_name": "MEDEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003968",
            "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 May 6, 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.