Active NPI
Linda L Myree, M.T.
- Massage Therapist
- College Park, GA
National Provider Identifier
1972822468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT005833
- Practice address
- 639 Garden Walk Blvd
Apt 825
College Park, GA 30349-6676 - Phone
- (678) 360-4531
- NPI assigned
- May 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT005833 | GA | Primary |
Addresses
Primary practice location
639 Garden Walk Blvd
Apt 825
College Park, GA 30349-6676
Mailing address
639 Garden Walk Blvd
Apt 825
College Park, GA 30349-6676
Phone (678) 360-4531
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT005833 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274572800000",
"number": "1972822468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 GARDEN WALK BLVD",
"address_2": "APT 825",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303496676",
"telephone_number": "678-360-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 GARDEN WALK BLVD",
"address_2": "APT 825",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303496676",
"telephone_number": "678-360-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYREE",
"first_name": "LINDA",
"middle_name": "L",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-23",
"last_updated": "2010-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.