Active NPI
Carlos Cruz, COTA
- Massage Therapist
- Carnation, WA
National Provider Identifier
1033535752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60499241
- Practice address
- 4509 B Tolt Ave
Carnation, WA 98014 - Phone
- (407) 760-1333
- NPI assigned
- Mar 6, 2014
- Last updated
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC60416008 | WA | |
| Massage Therapist | 225700000X | MA60499241 | WA | Primary |
Addresses
Primary practice location
4509 B Tolt Ave
Carnation, WA 98014
Mailing address
PO Box 1134
Carnation, WA 98014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC60416008 | WA | MD | Occupational Therapy Assistant |
| MA60499241 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1033535752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1134",
"city": "CARNATION",
"state": "WA",
"postal_code": "98014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 B TOLT AVE",
"city": "CARNATION",
"state": "WA",
"postal_code": "98014",
"telephone_number": "407-760-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CARLOS",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-06",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC60416008",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60499241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carnation, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.