Active NPI
Juanita Bates Bonds
- Massage Therapist
- Roswell, GA
National Provider Identifier
1952913824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010352
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT010352 | Other | GA | LICENSE 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT010352 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Long Term Care Hospital
- New Orleans, LA
- NPI 1639641764
-
- Rehabilitation Hospital
- Denham Springs, LA
- NPI 1609891118
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.