Anastasia E Dejulio

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0001374 Issued in CO

Practice address

2130 Mountain View Ave Ste 205
Longmont, CO 80501-3177

Phone

(720) 352-3111

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anastasia Cooley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1497521132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 SNOWBERRY AVE",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046548",
            "telephone_number": "720-352-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE STE 205",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "720-352-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Snowberry Ave",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805046548",
            "country_code": "US",
            "telephone_number": "720-352-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJULIO",
        "first_name": "ANASTASIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "COOLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Deckelbaum
• Anthony Richard Declusin, MD
• Donna G Deffke
• Eric Defonso, LMT
• Alexis Deignan, LCSW, MSW
• Kaitlyn Delancey, DDS
• Bryant Luis Delgado, M.D.
• Anthony M Delmonico
• Karen Delvecchio, NP
• Karen M Dempsey, RN MSN CS

• Massage Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.