Active NPI
Angela Marie Coney, LMT
- Massage Therapist
- Vero Beach, FL
National Provider Identifier
1386965317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 50066
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA 50066 | Other | FL | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 50066 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Vero Beach, FL
- NPI 1598071532
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.