Active NPI
Cantrella V Cofield, LMT
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1770179350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2001327
- Practice address
- 1276 Ralph David Abernathy Blvd SW Ste 204
Atlanta, GA 30310-1752 - Phone
- (678) 241-4470
- NPI assigned
- Dec 17, 2020
- 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 | MT2001327 | GA | Primary |
Addresses
Primary practice location
1276 Ralph David Abernathy Blvd SW Ste 204
Atlanta, GA 30310-1752
Mailing address
1489 Avon Ave SW
Atlanta, GA 30311-2701
Phone (404) 783-0386
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2001327 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1770179350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 AVON AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303112701",
"telephone_number": "404-783-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 RALPH DAVID ABERNATHY BLVD SW STE 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101752",
"telephone_number": "678-241-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFIELD",
"first_name": "CANTRELLA",
"middle_name": "V",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT2001327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Marco R Coelho, OTR/L
- Mary R Coello, O.D.
- Sarah Marie Cofelice, M.A., BCBA
- Sarah Katie Dupree Coffee, PHARM.D.
- Mary Virginia Coffman, MS, CNS, LDN, LN
- Cherry Celeste Coggin, D.M.D.
- Cassandra Lee Coghlan, PA-C
- Cognisance Corp (Ellie Mental Health Atlanta)
- Cognitive Counseling Consultants of Georgia
- Cognitive Rehabilitation of Georgia, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.