Angela Cobb, MASSAGE THERAPIST

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT101129 Issued in TX

Practice address

5358 W Vickery Blvd
Fort Worth, TX 76107-7520

Phone

(817) 731-6276

Fax

(817) 731-5890

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Angela Decker Other name

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1790913077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5358 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077520",
            "telephone_number": "817-731-6276",
            "fax_number": "817-731-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5358 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077520",
            "telephone_number": "817-731-6276",
            "fax_number": "817-731-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "TX",
            "license": "MT101129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DECKER",
            "prefix": "DR.",
            "credential": "MASSAGE THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindy Coates, RN, BSN
• Sarah Coates, PHARMD
• Gilbert Franklin Coats, DDS
• Maxwell A Coats, CSFA
• Victoria Coats, OT
• Camille N Cobb, CPNP
• Cassie Cobb
• Jasmine Marie Cobb, CPNP-AC/PC
• Melanie R Cobb, PA
• Sandra Cobb, MSW, LCSW

• Mechanotherapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mechanotherapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.