Individual provider Active NPI

Dotie Linia Cantrell, LMT

  • Massage Therapist
  • Oviedo, FL
National Provider Identifier
1215219159
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 34817 Issued in FL
Practice address
1480 Swanson Dr
Oviedo, FL 32765-5811
Phone
(407) 971-2900
Fax
(407) 971-2943
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 34817 FL Primary
Massage Therapist 225700000X MA34817 FL

Addresses

Primary practice location

1480 Swanson Dr
Oviedo, FL 32765-5811

Mailing address

1480 Swanson Dr
Oviedo, FL 32765-5811
Phone (407) 971-2900

Other names 1

  • Mrs. Dotie Linia Cantrell Professional name

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 34817FLMDMassage Therapist
MA34817FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1215219159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SWANSON DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655811",
            "telephone_number": "407-971-2900",
            "fax_number": "407-971-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 SWANSON DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655811",
            "telephone_number": "407-971-2900",
            "fax_number": "407-971-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "DOTIE",
        "middle_name": "LINIA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 34817",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA34817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOTIE",
            "last_name": "CANTRELL",
            "middle_name": "LINIA",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.