Individual provider Active NPI

Cynthia Kusha, LMT

  • Massage Therapist
  • Fort Myers, FL
National Provider Identifier
1265129241
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA51915 Issued in FL
Practice address
20 Barkley Cir Ste 201
Fort Myers, FL 33907-4545
Phone
(239) 245-7729
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 MA51915 FL Primary

Addresses

Primary practice location

20 Barkley Cir Ste 201
Fort Myers, FL 33907-4545

Mailing address

854 Aldengate Dr
Galloway, OH 43119-8632
Phone (614) 565-2872

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL booker Direct

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
MA51915FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1265129241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 ALDENGATE DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198632",
            "telephone_number": "614-565-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BARKLEY CIR STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074545",
            "telephone_number": "239-245-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHA",
        "first_name": "CYNTHIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "booker",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Barkley Cir Ste 201",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339074545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.