Individual provider Active NPI

Reta J Coolin, CMT

  • Massage Therapist
  • San Mateo, CA
National Provider Identifier
1275367146
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33249 Issued in FL
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

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
33249FLMDMassage 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.

Verify at the official NPI Registry.