Active NPI
James H Wolf Jr., LMT
- Massage Therapist
- Stockbridge, GA
National Provider Identifier
1750718367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT008467
- Practice address
- 85 Fern CT
Stockbridge, GA 30281-2111 - Phone
- (678) 558-9989
- NPI assigned
- Sep 28, 2013
- Last updated
- Sep 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | MT008467 | GA | Primary |
Addresses
Primary practice location
85 Fern CT
Stockbridge, GA 30281-2111
Mailing address
85 Fern CT
Stockbridge, GA 30281-2111
Phone (678) 558-9989
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 |
|---|---|---|---|
| MT008467 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380326400000",
"number": "1750718367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 FERN CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812111",
"telephone_number": "678-558-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 FERN CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812111",
"telephone_number": "678-558-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JAMES",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-28",
"last_updated": "2013-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT008467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
- Vanessa Marcy Winokur, PA-C
- Michelle Martin Winter
- Ashley D Wise, PAC
- Daniel Philip Witter I, M.D.
- Woam Diagnostics, Corp
- Elizabeth Matheny Wolfe, PA
- Paula Maria Woll, PAC
- Women's Health Specialists 2 LLC
- Women's Imaging Specialists - Eagles Landing, LLC
- Women's Imaging Specialists - Eagles Walk, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.