Individual provider Active NPI

Scott Dale Giltner

  • Massage Therapist
  • Hayden, ID
National Provider Identifier
1295384907
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
8109 N Wayne Blvd
Hayden, ID 83835-5031
Phone
(208) 664-5225
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 Primary

Addresses

Primary practice location

8109 N Wayne Blvd
Hayden, ID 83835-5031

Mailing address

8109 N Wayne Blvd
Hayden, ID 83835-5031
Phone (208) 664-5225

Other practice location 1

850 W Ironwood Dr Ste 302
Coeur D Alene, ID 83814-4903
Phone (208) 664-5225

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

OrganizationSpecialtyStatusNew patients
Chiropractic Pain Relief Clinic P a CurrentSince Sep 8, 2019 Accepting new patients
Avanti Health LLC Past Accepting new patients
Pacific Capital and Consulting, LLC Past Accepting new patients
Joyce Kelley LMT Massage Therapist PastSince Sep 8, 2019 Accepting new patients
We Care Wellness Center, LLC Massage Therapist Past Accepting new patients

Locations

8109 N Wayne Dr
Hayden, ID 83835
Phone (208) 664-5225

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1295384907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-664-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-664-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Ironwood Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144903",
            "country_code": "US",
            "telephone_number": "208-664-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILTNER",
        "first_name": "SCOTT",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.