Melinda Cooper, LTM

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA29951 Issued in FL

Practice address

1365 Oakfield Dr
Brandon, FL 33511-4841

Phone

(813) 689-2755

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1275006165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 FOXCREST WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695784",
            "telephone_number": "813-689-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114841",
            "telephone_number": "813-689-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MELINDA",
        "credential": "LTM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA29951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi H Cook, APRN
• Jeffery B Cook, DMD
• Cool Kidz Pediatrics LLC
• Katherine Margaret Cooper
• Kerry Christine Cooper
• Pia Marie Cooper, PA-C
• Taylor Nichole Cooper
• Toni Cooper
• Jodi Cope, M.S., C.C.C.
• Zachary Joseph Cope, PHARMD

• Massage Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.