Organization Active NPI

Scoot Your Booty LLC

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, TX
National Provider Identifier
1306524434
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCOOT YOUR BOOTY LLC
Practice address
4321 N I 35 Ste 170
Gainesville, TX 76240-1915
Phone
(940) 612-5190
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Leo C Flores
Title
Owner
Phone
(940) 634-0918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4321 N I 35 Ste 170
Gainesville, TX 76240-1915

Mailing address

2216 N Clements St
Gainesville, TX 76240-2352
Phone (940) 634-0918

National Provider Directory

National Provider Directory

Locations

4321 N I 35
Ste 170
Gainesville, TX 76240
Phone (940) 612-5190

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1306524434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 N CLEMENTS ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402352",
            "telephone_number": "940-634-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N I 35 STE 170",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762401915",
            "telephone_number": "940-612-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOT YOUR BOOTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-634-0918"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.