Samantha Camille Cocca, ATC, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0023205 Issued in CO

Practice address

2797 Wewatta Way Unit 3037
Denver, CO 80216-3652

Phone

(518) 810-7095

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1689036576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 WEWATTA WAY UNIT 3037",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163652",
            "telephone_number": "518-810-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 WEWATTA WAY UNIT 3037",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163652",
            "telephone_number": "518-810-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Leonard Dr",
            "address_2": "BLDG 3105",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319054768",
            "country_code": "US",
            "telephone_number": "706-544-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCCA",
        "first_name": "SAMANTHA",
        "middle_name": "CAMILLE",
        "credential": "ATC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-01-24",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002650",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT010471",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0023205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "address_1": "2797 Wewatta Way Unit 3037",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802163652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Cobble, LAC, LPCC
• Kelsey McKenna Cobbs, OTR/L
• Kristin Michelle Cobler
• Ashley Marie Coburn
• Coby Nutrition (Eatrite Nutrition)
• Benjamin Allen Cochell
• John H Cochran Jr, M.D.
• Julia Cochran-Seymour, D.C.
• Nicole Susanne Cochran, LCSW, LAC
• Patricia Albano Cochran, MA, LPC, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.