Tosha Cobb, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.014145 Issued in IL

Practice address

1397 Mt Zion Pkwy
Mt Zion, IL 62549-1478

Phone

(217) 864-1127

Fax

(217) 864-1187

NPI assigned

Sep 20, 2011

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aging Graceful Care LLC

  • In Home Supportive Care Agency
  • Decatur, IL
  • NPI 1114689585
  NPD Authorized official
• Be Balanced Massage LLC

  • Clinic/Center
  • Mt Zion, IL
  • NPI 1619661824
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2023.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1124301809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MT ZION PKWY",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491478",
            "telephone_number": "217-864-1127",
            "fax_number": "217-864-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MT ZION PKWY",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491478",
            "telephone_number": "217-864-1127",
            "fax_number": "217-864-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "TOSHA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.005370",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.014145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reanne Beck
• Timothy Delbert Busey, OD
• Tina L Calhoun
• Holly Marie Chapman, APN
• Christopher J Woodrow, D.C., P.C.
• Todd J Cole, DDS
• Decatur Family Medical Group Inc
• Decatur Orthopedic Center, LLC
• Decatur Orthopedic Center, LLC
• Decatur Orthopedic Center, LLC

• All providers in Mt Zion, IL
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.