Individual provider Active NPI

Kelly Schott, HHP, CMT

  • Massage Therapist
  • Long Beach, CA
National Provider Identifier
1184223430
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
77168 Issued in CA
Practice address
455 E Ocean Blvd Apt 702
Long Beach, CA 90802-4941
Phone
(858) 442-8415
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 77168 CA Primary

Addresses

Primary practice location

455 E Ocean Blvd Apt 702
Long Beach, CA 90802-4941

Mailing address

455 E Ocean Blvd Apt 702
Long Beach, CA 90802-4941
Phone (858) 442-8415

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://holistic_bliss.massagetherapy.com/contact-information

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

LicenseStateTypeSpecialty
77168CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1184223430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E OCEAN BLVD APT 702",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024941",
            "telephone_number": "858-442-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E OCEAN BLVD APT 702",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024941",
            "telephone_number": "858-442-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "KELLY",
        "credential": "HHP, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "77168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://holistic_bliss.massagetherapy.com/contact-information",
            "affiliation": "N",
            "address_1": "455 E Ocean Blvd Apt 702",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908024941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.