Individual provider Active NPI

Angela Marie Coney, LMT

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1386965317
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 50066 Issued in FL
Practice address
1360 US Highway 1
Suite 5
Vero Beach, FL 32960-5703
Phone
(772) 569-7770
Fax
(772) 569-7770
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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 MA 50066 FL Primary

Addresses

Primary practice location

1360 US Highway 1
Suite 5
Vero Beach, FL 32960-5703

Mailing address

8303 Fort Walton Ave
Fort Pierce, FL 34951-1397
Phone (772) 429-1149

Other identifiers 1

IdentifierTypeStateIssuer
MA 50066OtherFLSTATE OF FLORIDA LICENSE NUMBER FOR MASSAGE THERAPIST

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
MA 50066FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Integrative Therapies Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1386965317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 FORT WALTON AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349511397",
            "telephone_number": "772-429-1149",
            "fax_number": "772-429-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605703",
            "telephone_number": "772-569-7770",
            "fax_number": "772-569-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONEY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 50066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA LICENSE NUMBER FOR MASSAGE THERAPIST",
            "identifier": "MA 50066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.