Individual provider Active NPI

Crystal Del Carmen Reyes, LMT

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1922763853
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT013574 Issued in GA
Practice address
3 Dunwoody Park Ste 112
Atlanta, GA 30338-6709
Phone
(404) 444-4363
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 MT013574 GA Primary

Addresses

Primary practice location

3 Dunwoody Park Ste 112
Atlanta, GA 30338-6709

Mailing address

3 Dunwoody Park Ste 112
Atlanta, GA 30338-6709
Phone (404) 444-4363

Other names 1

  • Crystal Del Carmen Reyes Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://theartofbodysculpting.clientsecure.me Direct

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
MT013574GAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1922763853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DUNWOODY PARK STE 112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386709",
            "telephone_number": "404-444-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNWOODY PARK STE 112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386709",
            "telephone_number": "404-444-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CRYSTAL",
        "middle_name": "DEL CARMEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://theartofbodysculpting.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "FILLING CONSENT INFO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Dunwoody Park Ste 112",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303386709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "REYES",
            "middle_name": "DEL CARMEN",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.