Active NPI
Dylan Thomas Scioletti, MT
- Massage Therapist
- Glenwood Springs, CO
National Provider Identifier
1154908366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0021931
- Practice address
- 401 23Rd St Ste 104a
Glenwood Springs, CO 81601-4363 - Phone
- (781) 367-7022
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0021931 | CO | Primary |
Addresses
Primary practice location
401 23Rd St Ste 104a
Glenwood Springs, CO 81601-4363
Mailing address
52089 Highway 6 Apt A411
Glenwood Springs, CO 81601-2836
Phone (781) 367-7022
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0021931 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1154908366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52089 HIGHWAY 6 APT A411",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816012836",
"telephone_number": "781-367-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 23RD ST STE 104A",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014363",
"telephone_number": "781-367-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIOLETTI",
"first_name": "DYLAN",
"middle_name": "THOMAS",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0021931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.