Individual provider Active NPI

Violeta Coronado, LMT, MLDT

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1366172686
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-13020 Issued in AZ
Practice address
1601 N Tucson Blvd Ste 14a
Tucson, AZ 85716-3406
Phone
(520) 719-0090
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 MT-13020 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 14a
Tucson, AZ 85716-3406

Mailing address

1601 N Tucson Blvd Ste 14a
Tucson, AZ 85716-3406
Phone (520) 719-0090

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
MT-13020AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworx Center LLC Massage Therapist CurrentSince Jun 12, 2022 Accepting new patients

Locations

1601 N Tucson Blvd
Ste 14A
Tucson, AZ 85716
Phone (520) 719-0090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1366172686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 14A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-719-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 14A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-719-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "VIOLETA",
        "credential": "LMT, MLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-13020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.