Austin Ridley, MT
Massage Therapist in Martinez, GA. Individual provider (NPI-1).
NPI number1013853530
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1013853530
- Entity type
- Individual (NPI-1)
- Name
- Austin Ridley
- Credential
- MT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT014695 | GA | Yes |
Practice location
211 Bobby Jones Expy Ste CMartinez, GA 30907-5253
Phone 706-860-3355 · Fax 706-860-8765
Mailing address
211 Bobby Jones Expy Ste CMartinez, GA 30907-5253
Phone 706-860-3355 · Fax 706-860-8765
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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