NPIMap

Organization Active NPI

East Cobb Massage Therapy, Inc

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1821320821
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MT000233 Issued in GA
Legal business name
EAST COBB MASSAGE THERAPY, INC
Practice address
2440 Sandy Plains Rd
BLDG 3, Suite 105
Marietta, GA 30066-7217
Phone
(404) 627-7243
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mr. Shawn Estrumsa, LMTNPI 1295067031
Title
President
Phone
(404) 627-7243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MT000233 GA Primary

Addresses

Primary practice location

2440 Sandy Plains Rd
BLDG 3, Suite 105
Marietta, GA 30066-7217

Mailing address

2243 Spalding Dr
Marietta, GA 30062-1755
Phone (404) 627-7243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1821320821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 SPALDING DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621755",
            "telephone_number": "404-627-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BLDG 3, SUITE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "404-627-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB MASSAGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "ESTRUMSA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-627-7243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "MT000233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 24, 2013; 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.