Active NPI
Teheran M Height Sr., LMT, NMT
- Massage Therapist
- Stone Mountain, GA
National Provider Identifier
1891384293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT011648
- Practice address
- 737 Main St
Stone Mountain, GA 30083-3618 - Phone
- (678) 724-7906
- NPI assigned
- Jan 11, 2021
- Sex
- Male
- Sole proprietor
- No
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 | MT011648 | GA | Primary |
Addresses
Primary practice location
737 Main St
Stone Mountain, GA 30083-3618
Mailing address
2529 Bonds Lake Rd NW
Conyers, GA 30012-3101
Phone (678) 724-7906
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 |
|---|---|---|---|
| MT011648 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1891384293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 BONDS LAKE RD NW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123101",
"telephone_number": "678-724-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 MAIN ST",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833618",
"telephone_number": "678-724-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGHT",
"first_name": "TEHERAN",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMT, NMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT011648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.