Active NPI
Scott David Stafford, MA87096
- Massage Therapist
- Flagler Beach, FL
National Provider Identifier
1275428435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA87096
- Practice address
- 1240 S Ocean Shore Blvd
Flagler Beach, FL 32136-3703 - Phone
- (386) 276-6163
- NPI assigned
- Jun 10, 2025
- 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 | MA87096 | FL | Primary |
Addresses
Primary practice location
1240 S Ocean Shore Blvd
Flagler Beach, FL 32136-3703
Mailing address
1 Wedgewood LN
Palm Coast, FL 32164-7718
Phone (386) 276-6163
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA87096 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1275428435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEDGEWOOD LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647718",
"telephone_number": "386-276-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 S OCEAN SHORE BLVD",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321363703",
"telephone_number": "386-276-6163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "MA87096",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA87096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.