Individual provider Active NPI

Ayesha Nesbeth-Aguila

  • Massage Therapist
  • Roswell, GA
National Provider Identifier
1891269569
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT010864 Issued in GA
Practice address
425 E Crossville Rd Ste E-111
Roswell, GA 30075-5817
Phone
(770) 740-2609
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT010864 GA Primary

Addresses

Primary practice location

425 E Crossville Rd Ste E-111
Roswell, GA 30075-5817

Mailing address

425 E Crossville Rd Ste E-111
Roswell, GA 30075-5817
Phone (770) 740-2609

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

LicenseStateTypeSpecialty
MT010864GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Life LLC 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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1891269569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE E-111",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755817",
            "telephone_number": "770-740-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE E-111",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755817",
            "telephone_number": "770-740-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBETH-AGUILA",
        "first_name": "AYESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT010864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.