Unknown Individual – Massage Therapist, NPI 1790044907

Unknown Individual is a healthcare provider. based in Alpharetta, Georgia. specializing in Massage Therapist. They hold a License No. MT011484 (GA). The NPI Number for Unknown Individual is 1790044907

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790044907
Phone
(687) 580-1404
Address
1755 Grassland Pkwy
Deactivation Date
17 January 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1755 Grassland Pkwy

    Suite B

    Alpharetta, GA 300048600

    Phone: (687) 580-1404

    Type: Location

  • 4686 JAMERSON CREEK DR

    MARIETTA, GA 300661123

    Phone: (404) 966-6400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30004)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1790044907.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Massage Therapist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Alpharetta, Georgia; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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