Active NPI
Maile Lynn McCoy, CMT, LMT, NCBTMB
- Massage Therapist
- Livermore, CA
National Provider Identifier
1740595693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4177
- Practice address
- 1985 First St
Ste 209
Livermore, CA 94550-4485 - Phone
- (925) 577-5664
- Fax
- (925) 292-4449
- NPI assigned
- Aug 16, 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 | 4177 | CA | Primary |
Addresses
Primary practice location
1985 First St
Ste 209
Livermore, CA 94550-4485
Mailing address
1985 First St
Ste 209
Livermore, CA 94550-4485
Phone (925) 577-5664
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1740595693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 FIRST ST",
"address_2": "STE 209",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504485",
"telephone_number": "925-577-5664",
"fax_number": "925-292-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 FIRST ST",
"address_2": "STE 209",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504485",
"telephone_number": "925-577-5664",
"fax_number": "925-292-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MAILE",
"middle_name": "LYNN",
"credential": "CMT, LMT, NCBTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "4177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.