Active NPI
Alexis Edouard Servy, NCTMB, CMT, NMT
- Reflexologist
- Atlanta, GA
National Provider Identifier
1972957462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MT003953
- Practice address
- 1016 Piedmont Ave NE
Atlanta, GA 30309-3702 - Phone
- (678) 232-6433
- NPI assigned
- Apr 20, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT003953 | GA | Primary |
Addresses
Primary practice location
1016 Piedmont Ave NE
Atlanta, GA 30309-3702
Mailing address
1016 Piedmont Ave NE
Atlanta, GA 30309-3702
Phone (678) 232-6433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT003953 | Other | GA | GEORGIA BOARD OF MASSAGE THERAPY |
| 529241-07 | Other | GA | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK (NCBTMB) |
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 |
|---|---|---|---|
| MT003953 | GA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1972957462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093702",
"telephone_number": "678-232-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093702",
"telephone_number": "678-232-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVY",
"first_name": "ALEXIS",
"middle_name": "EDOUARD",
"credential": "NCTMB, CMT, NMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "GA",
"license": "MT003953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF MASSAGE THERAPY",
"identifier": "MT003953",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK (NCBTMB)",
"identifier": "529241-07",
"state": "GA"
}
],
"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 Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.