Active NPI
Thomas Grasso, LMT
- Massage Therapist
- Cocoa, FL
National Provider Identifier
1316176993
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Oct 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 14343
- Practice address
- 4795 Fay Blvd Ste 10
Cocoa, FL 32927-8267 - Phone
- (321) 208-3909
- NPI assigned
- Jul 5, 2009
- Last updated
- Sep 1, 2009
- Sex
- Male
- 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 | MA 14343 | FL | Primary |
Addresses
Primary practice location
4795 Fay Blvd Ste 10
Cocoa, FL 32927-8267
Mailing address
4795 Fay Blvd Ste 10
Cocoa, FL 32927-8267
Phone (321) 208-3909
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 14343 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1316176993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4795 FAY BLVD STE 10",
"city": "COCOA",
"state": "FL",
"postal_code": "329278267",
"telephone_number": "321-208-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 FAY BLVD STE 10",
"city": "COCOA",
"state": "FL",
"postal_code": "329278267",
"telephone_number": "321-208-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSO",
"first_name": "THOMAS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-05",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 14343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.