Randolph Steven Decos, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0019618 Issued in FL

Practice address

2106 Bispham Road
Suite a
Sarasota, FL 34231

Phone

(941) 925-3557

Fax

(941) 925-3557

NPI assigned

Dec 6, 2006

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1639238777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 LINWOOD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342323806",
            "telephone_number": "941-378-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 BISPHAM ROAD",
            "address_2": "SUITE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-925-3557",
            "fax_number": "941-925-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOS",
        "first_name": "RANDOLPH",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0019618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Debruyn, D.C.
• Ralph Thomas Decapua, PA-C
• Meredith Decastro, PT
• Miguel Traifalgar Decastro Jr., PT
• Gregory Declue, PH.D.
• Jared Alan Decubellis
• Robert J Decubellis, D.C., P.A.
• Julia E Dedrickson
• Depender Dedwal, ( R.PH )
• Melissa Deem, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.