Individual provider Active NPI

Cynthia Austin Mobley, LMT

  • Massage Therapist
  • Lake City, FL
National Provider Identifier
1831424167
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 54087 Issued in FL
Practice address
122 SW Sweetbay CT
Lake City, FL 32024-0738
Phone
(850) 510-9857
NPI assigned
Oct 5, 2009
Last updated
Oct 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 54087 FL Primary

Addresses

Primary practice location

122 SW Sweetbay CT
Lake City, FL 32024-0738

Mailing address

122 SW Sweetbay CT
Lake City, FL 32024-0738
Phone (850) 510-9857

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

LicenseStateTypeSpecialty
MA 54087FLMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1831424167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SW SWEETBAY CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240738",
            "telephone_number": "850-510-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SW SWEETBAY CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240738",
            "telephone_number": "850-510-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN MOBLEY",
        "first_name": "CYNTHIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 54087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.