Individual provider Active NPI

Amanda Schoeck, LMT

  • Massage Therapist
  • Marietta, GA
National Provider Identifier
1790311066
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT011034 Issued in GA
Practice address
1800 Roswell Rd Ste 1050
Marietta, GA 30062-3982
Phone
(678) 883-5668
NPI assigned
Mar 19, 2020
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT011034 GA Primary

Addresses

Primary practice location

1800 Roswell Rd Ste 1050
Marietta, GA 30062-3982

Mailing address

4321 Kings Way NE
Marietta, GA 30067-3631
Phone (678) 883-5668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@lifemovesmt.com

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

LicenseStateTypeSpecialty
MT011034GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Moves Manual Therapies, LLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

1800 Roswell Rd
Ste 1050
Marietta, GA 30062
Phone (678) 883-5668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1790311066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 KINGS WAY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300673631",
            "telephone_number": "678-883-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROSWELL RD STE 1050",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623982",
            "telephone_number": "678-883-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOECK",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@lifemovesmt.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1800 Roswell Rd Ste 1050",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300623982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.