Individual provider Active NPI

Juanita Bates Bonds

  • Massage Therapist
  • Roswell, GA
National Provider Identifier
1952913824
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT010352 Issued in GA
Practice address
600 Houze Way Ste D3
Roswell, GA 30076-1433
Phone
(678) 404-5253
Fax
(404) 393-1814
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT010352 GA Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X MT010352 GA

Addresses

Primary practice location

600 Houze Way Ste D3
Roswell, GA 30076-1433

Mailing address

600 Houze Way Ste D3
Roswell, GA 30076-1433
Phone (678) 404-5253

Other practice location 1

1232 Johnson Ferry Rd
Marietta, GA 30068-2776
Phone (678) 213-2220

Other practice location 2

3143 E Shadowlawn Ave NE
Atlanta, GA 30305-2405
Phone (678) 213-2220

Other identifiers 1

IdentifierTypeStateIssuer
MT010352OtherGALICENSE MASSAGE THERAPIST

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
MT010352GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliant Specialty Hospital, LLC Current Accepting new patients
St Charles Specialty Rehabilitation Hospital LLC Current Accepting new patients
Atlanta Medical Day Spa Single Specialty PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1952913824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY STE D3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761433",
            "telephone_number": "678-404-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY STE D3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761433",
            "telephone_number": "678-404-5253",
            "fax_number": "404-393-1814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1232 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682776",
            "country_code": "US",
            "telephone_number": "678-213-2220",
            "fax_number": "678-213-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3143 E Shadowlawn Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052405",
            "country_code": "US",
            "telephone_number": "678-213-2220",
            "fax_number": "678-213-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONDS",
        "first_name": "JUANITA",
        "middle_name": "BATES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT010352",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "GA",
            "license": "MT010352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MASSAGE THERAPIST",
            "identifier": "MT010352",
            "state": "GA"
        }
    ],
    "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 Sep 25, 2025; 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.