Active NPI
Scott Glenn Hawker, CMT, MMT
- Massage Therapist
- Blackfoot, ID
National Provider Identifier
1205053261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 285 W Francis St
Blackfoot, ID 83221-1751 - Phone
- (208) 785-0123
- Fax
- (208) 782-1885
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | ID | Primary |
Addresses
Primary practice location
285 W Francis St
Blackfoot, ID 83221-1751
Mailing address
951 W 250 S
Blackfoot, ID 83221-6061
Phone (208) 684-3112
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawker Inc. | Past | Accepting new patients | |
| Schmitt Enterprises | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205053261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 W 250 S",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832216061",
"telephone_number": "208-684-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W FRANCIS ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211751",
"telephone_number": "208-785-0123",
"fax_number": "208-782-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKER",
"first_name": "SCOTT",
"middle_name": "GLENN",
"credential": "CMT, MMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.