James Anthony Trentacosta, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA13773 Issued in FL

Practice address

96 Dolphin Blvd E
Ponte Vedra Beach, FL 32082-1713

Phone

(904) 285-5566

Fax

(904) 543-1488

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Tony Trentacosta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023030970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 DOLPHIN BLVD E",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821713",
            "telephone_number": "904-285-5566",
            "fax_number": "904-543-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 DOLPHIN BLVD E",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821713",
            "telephone_number": "904-285-5566",
            "fax_number": "904-543-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTACOSTA",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA13773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "C7842",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA13773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "TRENTACOSTA",
            "prefix": "MR.",
            "credential": "L.M.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.