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NPISignal

Individual Healthcare Provider

Dandy Nichols, NMT, LMT

NPI Record: ActiveMassage Therapist
NPI1013469915
Atlanta, Georgia

Provider's NPPES record last updated: May 6, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1013469915
Primary Specialty
Massage Therapist
Practice Location
Atlanta, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:39 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Massage Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    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.

    Taxonomy code 225700000X
  • Mechanotherapist

    Other Service Providers

    A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

    Taxonomy code 172M00000X

Provider-Reported License Information

Massage Therapist (Georgia)
MT009639
Mechanotherapist (Georgia)
MT009639
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6065 Roswell Rd Ste 170

Atlanta, Georgia 30328-4034

Phone: (512) 589-7274

Additional Practice Location

1390 Lanier Blvd Ne

Suite 1409-a

Atlanta, Georgia 30306

Phone: (404) 220-7770

Additional Practice Location

3133 Maple Dr Ne

Atlanta, Georgia 30305-2505

Phone: (404) 220-7770

Record Information

Enumeration Date
October 26, 2016
Provider's NPPES Record Last Updated
May 6, 2024
Certification Date
April 25, 2024
NPISignal NPPES Dataset
August 2026

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