Active NPI
Jenna L Levy, LMT, NMT
- Massage Therapist
- Lilburn, GA
National Provider Identifier
1790665586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT002154
- Practice address
- 912 Killian Hill Rd SW Ste 103
Lilburn, GA 30047-8976 - Phone
- (678) 358-1537
- NPI assigned
- Sep 3, 2025
- Last updated
- Sep 3, 2025
- 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 | MT002154 | GA | Primary |
Addresses
Primary practice location
912 Killian Hill Rd SW Ste 103
Lilburn, GA 30047-8976
Mailing address
4081 Camaron Way
Snellville, GA 30039-8611
Phone (678) 358-1537
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 |
|---|---|---|---|
| MT002154 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1790665586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 CAMARON WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300398611",
"telephone_number": "678-358-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 KILLIAN HILL RD SW STE 103",
"city": "LILBURN",
"state": "GA",
"postal_code": "300478976",
"telephone_number": "678-358-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JENNA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMT, NMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT002154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.