Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801810643 Individual Practitioner Male Practitioner

Xavier Johnson , NCTMB, CMT, CMMT

Massage Therapist • Forest Park, GA

Professional Overview & Biography Verified Profile Summary

Xavier Johnson, NCTMB, CMT, CMMT is a registered healthcare professional specializing in Massage Therapist in Forest Park, GA. Practice services are available at 362 LEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

362 Lee St

Forest Park, GA 302972442

Telephone 8772879664
Fax 8772879664

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Forest Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Forest Park, GA (1356 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 362 LEE ST, FOREST PARK, GA 302972442 (Tel: 8772879664)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 827, ELLENWOOD, GA 302940827 (Tel: 8772879664)

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Provider Name / Credentials Updated July 08, 2007

Recorded as XAVIER JOHNSON, NCTMB, CMT, CMMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist

🟢
Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801810643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 827

Ellenwood, GA 302940827

Phone: 8772879664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.