Active NPI
Tiffany Timmerman, LMT
- Massage Therapist
- Albany, GA
National Provider Identifier
1992293955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009318
- Practice address
- Albany Therapeutic Massage Clinic
1534 Dawson, Rd
Albany, GA 31707 - Phone
- (229) 435-9008
- Fax
- (229) 435-9080
- NPI assigned
- Apr 25, 2018
- 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 | 009318 | GA | Primary |
Addresses
Primary practice location
Albany Therapeutic Massage Clinic
1534 Dawson, Rd
Albany, GA 31707
Mailing address
Albany Therapeutic Massage Clinic
1534 Dawson. Rd
Albany, GA 31707
Phone (229) 435-9008
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Therapeutic Massage Clinic | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Albany, GA
- NPI 1669503199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1992293955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBANY THERAPEUTIC MASSAGE CLINIC",
"address_2": "1534 DAWSON. RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "31707",
"telephone_number": "229-435-9008",
"fax_number": "229-435-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBANY THERAPEUTIC MASSAGE CLINIC",
"address_2": "1534 DAWSON, RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "31707",
"telephone_number": "229-435-9008",
"fax_number": "229-435-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMERMAN",
"first_name": "TIFFANY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "009318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.