Beverley Segel, L.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

000042 Issued in GA

Practice address

2177 Briarcliff Rd NE
Atlanta, GA 30329-3449

Phone

(404) 218-3273

Fax

(404) 393-9821

NPI assigned

Oct 31, 2007

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

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1750560306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 PEACHTREE RD NW",
            "address_2": "APT 15F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053673",
            "telephone_number": "404-218-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293449",
            "telephone_number": "404-218-3273",
            "fax_number": "404-393-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGEL",
        "first_name": "BEVERLEY",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "000042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ertha Cedrine Sefu Omba
• Alan I Segal, M.S.
• Julie Segal, MD
• Matthew Joel Segall, PH.D.
• Lauren Seale Segarra, M. ED., CCC-SLP
• Stuart Charles Segerman, MD
• Samuel Zoua Segnou
• Oscar Segovia, PNP
• Colin Michael Segovis, M.D., PH.D.
• Russell Patrick Segraves, PHARM.D.

• Mechanotherapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mechanotherapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.