Tara Scott, RMT

Individual provider Active NPI Massage Therapist · Colorado Springs, CO

NPI 1124440805 · NPPES record last updated Jan 14, 2014

Key facts

NPI
1124440805
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0013191 (CO)
Practice address
5921 N Nevada Ave
Colorado Springs, CO 80918-3549
Phone
(719) 266-8884
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0013191COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Body Balance Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0013191 CO Yes

Addresses

Primary practice location

5921 N Nevada Ave
Colorado Springs, CO 80918-3549

Mailing address

5921 N Nevada Ave
Colorado Springs, CO 80918-3549
Phone (719) 266-8884

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 14, 2014.

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1124440805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183549",
            "telephone_number": "719-266-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183549",
            "telephone_number": "719-266-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TARA",
        "credential": "RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0013191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.