What is Anderson Theodore's NPI number?

Anderson Theodore's National Provider Identifier (NPI) is 1639031222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Anderson Theodore's specialty?

Anderson Theodore is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Anderson Theodore located?

Anderson Theodore's practice location on file with NPPES is 5412 Rock Lake Dr, Atlanta, GA 30349-8905.

What is Anderson Theodore's phone number?

The practice phone number listed in the NPPES registry for Anderson Theodore is (678) 644-7357.

Is Anderson Theodore's NPI active?

Yes — Anderson Theodore's NPI (1639031222) is active in the NPPES registry as of the last update on 2025-12-02.

IndividualActive

Anderson Theodore, LMT

NPI 1639031222 · Massage Therapist · Atlanta, GA

Anderson Theodore, LMT is a Massage Therapist provider in Atlanta, GA (NPI 1639031222).

Provider details

NPI number: 1639031222
Entity type: Individual
Primary specialty: Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: LMT
Sex: Male
Sole proprietor: Yes
License: MT006637 (GA)

Practice location

5412 Rock Lake Dr

Atlanta, GA 30349-8905

Phone: (678) 644-7357

Street-level locationGet directions

More GA providers

Mailing address

5412 Rock Lake Dr

College Park, GA 30349-8905

Specialties & taxonomies

Massage TherapistPrimary225700000XLicense MT006637 (GA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2025-12-02
Last updated: 2025-12-02
Certified: 2025-12-02

Frequently asked questions

What is Anderson Theodore's NPI number?: Anderson Theodore's National Provider Identifier (NPI) is 1639031222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Anderson Theodore's specialty?: Anderson Theodore is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Anderson Theodore located?: Anderson Theodore's practice location on file with NPPES is 5412 Rock Lake Dr, Atlanta, GA 30349-8905.
What is Anderson Theodore's phone number?: The practice phone number listed in the NPPES registry for Anderson Theodore is (678) 644-7357.
Is Anderson Theodore's NPI active?: Yes — Anderson Theodore's NPI (1639031222) is active in the NPPES registry as of the last update on 2025-12-02.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions