Active NPI
Paul Homer Cook
- Massage Therapist
- Sarasota, FL
National Provider Identifier
1154898070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 53435
- Practice address
- 2650 Bahia Vista St Ste 309
Sarasota, FL 34239-2634 - Phone
- (941) 953-3700
- Fax
- (941) 953-3770
- NPI assigned
- Oct 29, 2018
- Sex
- Male
- 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 | 53435 | FL | Primary |
Addresses
Primary practice location
2650 Bahia Vista St Ste 309
Sarasota, FL 34239-2634
Mailing address
3901 Bahia Vista St Lot 124
Sarasota, FL 34232-2434
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 |
|---|---|---|---|
| 53435 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1154898070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BAHIA VISTA ST LOT 124",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 BAHIA VISTA ST STE 309",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392634",
"telephone_number": "941-953-3700",
"fax_number": "941-953-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "PAUL",
"middle_name": "HOMER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "53435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.