Active NPI
Marilyn Cobb, LMT
- Mechanotherapist
- Indialantic, FL
National Provider Identifier
1942476767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA0013168
- Practice address
- 241 7TH Ave
Indialantic, FL 32903-3336 - Phone
- (321) 591-0166
- Fax
- (321) 952-8111
- NPI assigned
- May 1, 2008
- Last updated
- May 6, 2014
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA0013168 | FL | Primary |
Addresses
Primary practice location
241 7TH Ave
Indialantic, FL 32903-3336
Mailing address
815 Kirkwood Ave SE
Atlanta, GA 30316-1295
Phone (321) 591-0166
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 |
|---|---|---|---|
| MA0013168 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1942476767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 KIRKWOOD AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161295",
"telephone_number": "321-591-0166",
"fax_number": "321-952-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 7TH AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033336",
"telephone_number": "321-591-0166",
"fax_number": "321-952-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "MARILYN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA0013168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indialantic, FL
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- Ryan Collins, DMD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.