Kara Danielle Bazemore

Individual provider Active NPI Massage Therapist · Atlanta, GA

NPI 1821634262 · NPPES record last updated Nov 20, 2019

Key facts

NPI
1821634262
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
3161 Howell Mill Rd NW Ste 410
Atlanta, GA 30327-2117
Phone
(404) 351-5812
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Spine Surgery of Atlanta Past
since Nov 24, 2019
Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

3161 Howell Mill Rd NW Ste 410
Atlanta, GA 30327-2117

Mailing address

PO Box 1685
Palm Harbor, FL 34682-1685
Phone (727) 287-6300

Other providers in Atlanta, GA

All providers in Atlanta, GA · Massage Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.