Individual provider Active NPI

Jerome Claude Couve, LMT

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1063662831
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 53902 Issued in FL
Practice address
7815 N Dale Mabry Hwy
Suite 202
Tampa, FL 33614-3203
Phone
(813) 500-1593
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 53902 FL Primary

Addresses

Primary practice location

7815 N Dale Mabry Hwy
Suite 202
Tampa, FL 33614-3203

Mailing address

19107 Cherry Rose Cir
Lutz, FL 33558-9014
Phone (813) 926-1669

Other identifiers 1

IdentifierTypeStateIssuer
MA 53902OtherFLMASSAGE ESTABLISHMENT

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

LicenseStateTypeSpecialty
MA 53902FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1063662831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19107 CHERRY ROSE CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589014",
            "telephone_number": "813-926-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 N DALE MABRY HWY",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143203",
            "telephone_number": "813-500-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVE",
        "first_name": "JEROME",
        "middle_name": "CLAUDE",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 53902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE ESTABLISHMENT",
            "identifier": "MA 53902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.