Active NPI
Julie Ann Cosenza, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1063537728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA15043
- Practice address
- 1411 NW 6TH St
Unit 120
Gainesville, FL 32601-4021 - Phone
- (352) 870-2381
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA15043 | FL | Primary |
Addresses
Primary practice location
1411 NW 6TH St
Unit 120
Gainesville, FL 32601-4021
Mailing address
11321 SW 158TH St
Archer, FL 32618-3941
Phone (352) 495-7646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7068 | Other | FL | BCBS PROVIDER ID |
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 |
|---|---|---|---|
| MA15043 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1063537728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 SW 158TH ST",
"city": "ARCHER",
"state": "FL",
"postal_code": "326183941",
"telephone_number": "352-495-7646",
"fax_number": "352-495-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 NW 6TH ST",
"address_2": "UNIT 120",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014021",
"telephone_number": "352-870-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENZA",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA15043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "C7068",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.