Active NPI
Jesse Dodd, LNMT
- Massage Therapist
- Sandy Springs, GA
National Provider Identifier
1790338564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT004456
- Practice address
- 270 Carpenter Dr Ste 500
Sandy Springs, GA 30328-4946 - Phone
- (678) 668-4028
- NPI assigned
- Jul 22, 2019
- 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 | MT004456 | GA | Primary |
Addresses
Primary practice location
270 Carpenter Dr Ste 500
Sandy Springs, GA 30328-4946
Mailing address
270 Carpenter Dr Ste 500
Sandy Springs, GA 30328-4946
Other practice location 1
270 Carpenter Dr Ste 500
Sandy Springs, GA 30328-4946
Phone (678) 678-4028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jesse@feelbetterwithjd.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 |
|---|---|---|---|
| MT004456 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1790338564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CARPENTER DR STE 500",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CARPENTER DR STE 500",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284946",
"telephone_number": "678-668-4028"
}
],
"practiceLocations": [
{
"address_1": "270 Carpenter Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303284946",
"country_code": "US",
"telephone_number": "678-678-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODD",
"first_name": "JESSE",
"credential": "LNMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT004456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jesse@feelbetterwithjd.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Correspondence",
"address_1": "270 Carpenter Dr Ste 500",
"city": "Sandy Springs",
"state": "GA",
"country_code": "US",
"postal_code": "303284946",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.