Active NPI
Pierce Johnson, LMT
- Massage Therapist
- Duluth, GA
National Provider Identifier
1770284366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT014440
- Practice address
- 3465 Duluth Highway 120 Apt 3409
Duluth, GA 30096-3436 - Phone
- (770) 316-3534
- NPI assigned
- Mar 13, 2023
- 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 | MT014440 | GA | Primary |
Addresses
Primary practice location
3465 Duluth Highway 120 Apt 3409
Duluth, GA 30096-3436
Mailing address
1551 Dunwoody Village Pkwy Unit 88043
Atlanta, GA 30356-0007
Phone (770) 316-3534
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 |
|---|---|---|---|
| MT014440 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1770284366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 DUNWOODY VILLAGE PKWY UNIT 88043",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303560007",
"telephone_number": "770-316-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 DULUTH HIGHWAY 120 APT 3409",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963436",
"telephone_number": "770-316-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PIERCE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT014440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.