Organization Active NPI

Metro Music Therapy, LLC

  • Contractor
  • Norcross, GA
National Provider Identifier
1851629323
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
08015 Issued in GA
Legal business name
METRO MUSIC THERAPY, LLC
Practice address
3316 Cameron TRL
Norcross, GA 30092-3372
Phone
(404) 579-8070
NPI assigned
Nov 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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

Authorized official

Name
Mrs. Mallory Rexroad Even, MT-BC, NICU MTNPI 1144373796
Title
Owner/Operator
Phone
(404) 579-8070

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
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 08015 GA Primary

Addresses

Primary practice location

3316 Cameron TRL
Norcross, GA 30092-3372

Mailing address

3316 Cameron TRL
Norcross, GA 30092-3372
Phone (404) 579-8070

Other names 1

  • Metro Music Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258848000000",
    "number": "1851629323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 CAMERON TRL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923372",
            "telephone_number": "404-579-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 CAMERON TRL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923372",
            "telephone_number": "404-579-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MUSIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A",
        "authorized_official_last_name": "EVEN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "REXROAD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "404-579-8070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT-BC, NICU MT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "GA",
            "license": "08015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Music Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; 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.