Active NPI
Reta J Coolin, CMT
- Massage Therapist
- San Mateo, CA
National Provider Identifier
1275367146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33249
- Practice address
- 700 S Claremont St Ste 111
San Mateo, CA 94402-1447 - Phone
- (650) 345-5314
- NPI assigned
- Aug 31, 2024
- 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 | 33249 | FL | Primary |
Addresses
Primary practice location
700 S Claremont St Ste 111
San Mateo, CA 94402-1447
Mailing address
424 Studio Cir Apt 13
San Mateo, CA 94401-1623
Phone (650) 345-5314
Other practice location 1
424 Studio Cir Apt 13
San Mateo, CA 94401-1623
Phone (650) 345-5314
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 |
|---|---|---|---|
| 33249 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1275367146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 STUDIO CIR APT 13",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944011623",
"telephone_number": "650-345-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S CLAREMONT ST STE 111",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944021447",
"telephone_number": "650-345-5314"
}
],
"practiceLocations": [
{
"address_1": "424 Studio Cir Apt 13",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944011623",
"country_code": "US",
"telephone_number": "650-345-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOLIN",
"first_name": "RETA",
"middle_name": "J",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-31",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "33249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.