Carol Berry Todisco, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

42074 Issued in FL

Practice address

3084 Lake Washington Rd
Melbourne, FL 32934-7613

Phone

(321) 259-5056

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lotus Heart Holistic Center Too

  • Massage Therapist
  • Melbourne, FL
  • NPI 1285763359
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1376742791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 LAKE WASHINGTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347613",
            "telephone_number": "321-259-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 LAKE WASHINGTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347613",
            "telephone_number": "321-259-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODISCO",
        "first_name": "CAROL",
        "middle_name": "BERRY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "42074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPT OF",
            "identifier": "42074",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry J. Tobelmann III, BS, LMT
• Colleen Cook Tobia, PHARMD
• Stephen W. Tobia, M.D.
• Vanessa Tobon
• Diane H Todd, PT
• Leslie Ann Todisco, RBT
• Thomas Tolles
• Lindy Tolleson, D.C.
• Norman Paul Tomaka, MS PHARM, CPH, LHRM
• Penny Irene Toman, MSW, LCSW, CCM

• Massage Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.