Individual provider Active NPI

Matthew Kuhnwald

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1962388561
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT015108 Issued in GA
Practice address
955 Memorial Dr SE
Suite 522, Loft 8
Atlanta, GA 30316
Phone
(414) 412-8204
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 MT015108 GA Primary

Addresses

Primary practice location

955 Memorial Dr SE
Suite 522, Loft 8
Atlanta, GA 30316

Mailing address

19 Burnt Creek CT SW
Lilburn, GA 30047-6207
Phone (414) 412-8204

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
MT015108GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1962388561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BURNT CREEK CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476207",
            "telephone_number": "414-412-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MEMORIAL DR SE",
            "address_2": "SUITE 522, LOFT 8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30316",
            "telephone_number": "414-412-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHNWALD",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT015108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 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.