Active NPI
Lisa Marie Newman, L.M.T.
- Massage Therapist
- Brunswick, GA
National Provider Identifier
1750511325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT004071
- Practice address
- 153 Lake View Cir
Brunswick, GA 31525-3059 - Phone
- (912) 717-0077
- NPI assigned
- Jul 17, 2009
- Last updated
- Jul 17, 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 | MT004071 | GA | Primary |
Addresses
Primary practice location
153 Lake View Cir
Brunswick, GA 31525-3059
Mailing address
153 Lake View Cir
Brunswick, GA 31525-3059
Phone (912) 717-0077
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT004071 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1750511325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 LAKE VIEW CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315253059",
"telephone_number": "912-717-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 LAKE VIEW CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315253059",
"telephone_number": "912-717-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT004071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
- Nephrology and Hypertension Medical Associates PC
- Neurological Institute of Atlanta
- New Glory Therapy & Development Center
- Hollie Temples Newbern
- Geraldine Newman, L.M.T.
- Lisanne P Newton, M.D.
- Brent H Nichols, LPC
- Jennifer Lynn Nicholson, RD, LD/N, MSH
- Caroline Strickland Norris, CAA
- Samuel Thomas Norris Jr., DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.