Active NPI
Violeta Coronado, LMT, MLDT
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1366172686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-13020
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-13020 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodyworx Center LLC | Massage Therapist | Current | 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
- James E Corning, D.D.S.
- Coronado Internal Medicine PC
- Coronado Surgery Center LLC (Monarch Surgery Center)
- Jesus Coronado Jr., LPN
- Paulethe Coronado, RBT
- Christine Denice Corral-Parsons, M.A.,L.A.S.A.C.
- Molly Corral
- Veronica G Corrales-Lara
- Armando Corrales, CSFA
- Christin Corrales, NURSE PRACTITIONER
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.