Michael Coles, CMT, CES

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019008127 Issued in VA

Practice address

4110 Fitzhugh Ave
Richmond, VA 23230-3827

Phone

(804) 380-1316

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enrich Your Health LLC

  • Massage Therapist
  • Richmond, VA
  • NPI 1639884414
  NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1992435929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 SKEET ST",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943501",
            "telephone_number": "804-380-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303827",
            "telephone_number": "804-380-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CMT, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.massagebook.com/dashboard#/content,/soappremium/index/17193659",
            "affiliation": "N",
            "endpointDescription": "Online Patient SOAP note dashboard",
            "address_1": "4110 Fitzhugh Ave",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232303827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael A Coleman, BA, MDIV,
• Peter R Coleman, MD
• Ashleigh Renee Coles
• Craig A Coles
• Imani L. Coles, PT, DPT
• Colette Moussalli MD PC
• Mary L Colfer, MD
• Andrew Farish Colhoun, M.D.
• Collaborative Care Psychiatry, LLC
• Mackenzie Lake Colleton, DPT

• Massage Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.