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MICHAEL ANANTA ROSIDIVITO LMT
NPI 1114661402
Massage Therapist in Smyrna, GA

Active since April 24, 2022
2200 ATLANTA RD SE APT I3, SMYRNA, GA 30080(609) 314-1254 Get Directions Write a Review

NPPES record last updated: April 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Ananta Rosidivito Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANANTA ROSIDIVITO LMT (NPI 1114661402) is an individual massage therapist in Smyrna, Georgia, licensed in Georgia (MT011960) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1114661402
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMICHAEL ANANTA ROSIDIVITOCredential: LMT
Location Address2200 ATLANTA RD SE APT I3Smyrna, GA 30080-1538
Mailing Address2200 Atlanta Rd Se Apt I3Smyrna, GA 30080-1538 · (160) 931-4125
Phone(609) 314-1254
Sole ProprietorYes
Enumeration DateApril 24, 2022
NPPES CertifiedApril 24, 2022
✔ NPI 1114661402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT011960
Definition
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.
2200 ATLANTA RD SE APT I3, Smyrna, GA 30080
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Rosidivito's NPI number?

The NPI number for Michael Rosidivito is 1114661402. It was assigned to this individual provider in the NPPES registry on April 24, 2022.

Where is Michael Rosidivito located?

Michael Rosidivito practices at 2200 Atlanta Rd SE Apt I3, Smyrna, GA 30080. The listed phone number is (609) 314-1254.

What is Michael Rosidivito's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Michael Rosidivito was last updated on April 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.