Elliott Fitzgerald Cordes, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT130752 Issued in TX

Practice address

350 Cypress Creek Rd Apt 9112
Cedar Park, TX 78613-3418

Phone

(813) 509-7922

NPI assigned

Jul 27, 2024

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": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1699504811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CYPRESS CREEK RD APT 9112",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133418",
            "telephone_number": "813-509-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CYPRESS CREEK RD APT 9112",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133418",
            "telephone_number": "813-509-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "ELLIOTT",
        "middle_name": "FITZGERALD",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT130752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Cook
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• Trianna Ilise Cordova, FNP-C
• Barbara Lee Corff, PH.D.
• Anastasia M Corker, PMHNP
• Goddy T Corpuz, M.D.

• Massage Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.