Active NPI
Brittany Liebermann
- Massage Therapist
- Jonesboro, GA
National Provider Identifier
1801509831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT013662
- Practice address
- 221 Upper Riverdale Rd Apt 13F
Jonesboro, GA 30236-1020 - Phone
- (470) 699-7171
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- 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 | MT013662 | GA | Primary |
Addresses
Primary practice location
221 Upper Riverdale Rd Apt 13F
Jonesboro, GA 30236-1020
Mailing address
221 Upper Riverdale Rd Apt 13F
Jonesboro, GA 30236-1020
Phone (470) 699-7171
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 |
|---|---|---|---|
| MT013662 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1801509831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 UPPER RIVERDALE RD APT 13F",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361020",
"telephone_number": "470-699-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 UPPER RIVERDALE RD APT 13F",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361020",
"telephone_number": "470-699-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMANN",
"first_name": "BRITTANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT013662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.