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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013191 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Body Balance | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Samantha Scott
- Shamecca Monique Scott
- Shannon Marie Scott
- Stephanie Scott
- Susan W Scott
- Trenton Russell Scott
- Tyler Robert Scott
- Valerie Scott
- Devon Scottallen
- Dawn Angelen Scovel
All providers in Colorado Springs, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.