Lisa Michele Cooley, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA43897 Issued in FL

Practice address

1804 W Baker St
Suite F
Plant City, FL 33563-2900

Phone

(813) 719-1963

NPI assigned

Dec 4, 2008

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 identifiers 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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1790920726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 KIM ACRES LN",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335276011",
            "telephone_number": "813-657-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W BAKER ST",
            "address_2": "SUITE F",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632900",
            "telephone_number": "813-719-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA43897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA LICENSE NUMBER",
            "identifier": "MA43897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Conviva Medical Center Management LLC
• Conway & Mathews
• Jill Uhl Coots, ARNP
• Michelle Helene Cormier-Boeckle, ARNP
• Cynthia Denisse Cortes, M.D.
• Daymi Cowgill, MD
• Cox Adult Living Facility

• Massage Therapist in Plant City, FL
• Providers in Plant City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.