Active NPI
Arynette Neal, LMT
- Massage Therapist
- Lithia Springs, GA
National Provider Identifier
1770154858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0011543
- Practice address
- 870 Crestmark Dr Ste 102
Lithia Springs, GA 30122-2665 - Phone
- (770) 948-8000
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- 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 | MT0011543 | GA | Primary |
Addresses
Primary practice location
870 Crestmark Dr Ste 102
Lithia Springs, GA 30122-2665
Mailing address
870 Crestmark Dr Ste 102
Lithia Springs, GA 30122-2665
Phone (770) 948-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT011543 | Other | GA | MASSAGE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@wellspasuites.com | Direct |
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 |
|---|---|---|---|
| MT0011543 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Introspekts Wellness Group | Massage Therapist | Past | Accepting new patients |
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": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1770154858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 CRESTMARK DR STE 102",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301222665",
"telephone_number": "770-948-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CRESTMARK DR STE 102",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301222665",
"telephone_number": "770-948-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "ARYNETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT0011543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "MT011543",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@wellspasuites.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "870 Crestmark Dr Ste 102",
"city": "Lithia Springs",
"state": "GA",
"country_code": "US",
"postal_code": "301222665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.