Active NPI
Tanisha Collins, LMT
- Massage Therapist
- Douglasville, GA
National Provider Identifier
1821711755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT013607
- Practice address
- 6230 Melrose St
Douglasville, GA 30134-2249 - Phone
- (470) 782-2440
- NPI assigned
- Sep 26, 2022
- 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 | MT013607 | GA | Primary |
Addresses
Primary practice location
6230 Melrose St
Douglasville, GA 30134-2249
Mailing address
6230 Melrose St
Douglasville, GA 30134-2249
Phone (470) 782-2440
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 |
|---|---|---|---|
| MT013607 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Introspekts Wellness Group | Massage Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1821711755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 MELROSE ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342249",
"telephone_number": "470-782-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 MELROSE ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342249",
"telephone_number": "470-782-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TANISHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT013607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
- Christy Dawn Colagross, PT
- Dwana Tremayne Cole, M. ED., CCC-SLP
- Lesley Shawan Cole
- Tinora Coley
- Jessica E Collins, LPC, RBT
- Shannon Leigh Colvin Bentley, RNC CNM
- Comfort Mobile Labs LLC
- Comforting Partners Healthcare Services LLC
- Communication Cottage LLC
- Community Alternative Solutions Enterprise, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.