Active NPI
Maria Natalia Corales, LMT
- Massage Therapist
- Rockford, IL
National Provider Identifier
1144618984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.012751
- Practice address
- 519 Parkside Dr
Rockford, IL 61108-2024 - Phone
- (815) 965-3212
- NPI assigned
- Jan 1, 2015
- Last updated
- Oct 4, 2016
- 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 | 227.012751 | IL | Primary |
Addresses
Primary practice location
519 Parkside Dr
Rockford, IL 61108-2024
Mailing address
403 S Mulford Rd
Rockford, IL 61108-2509
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 |
|---|---|---|---|
| 227.012751 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1144618984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PARKSIDE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082024",
"telephone_number": "815-965-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALES",
"first_name": "MARIA",
"middle_name": "NATALIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-01",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.012751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.