Massage Ink, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MASSAGE INK, LLC

Practice address

128 Avenida San Dimas Apt C
San Clemente, CA 92672-1417

Phone

(949) 204-0320

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Cory ScurlockNPI 1619662061

Title

Ceo

Phone

(949) 204-0320

Specialties & licenses 1

Addresses

Other names 1

• Massage Inc Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Amber Scurlock, LMT

  • Massage Therapist
  • San Clemente, CA
  • NPI 1619662061
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1427744507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3753",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926743753",
            "telephone_number": "949-204-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 AVENIDA SAN DIMAS APT C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926721417",
            "telephone_number": "949-204-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE INK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "SCURLOCK",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-204-0320"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massage Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William W Martin, PH.D.,P.C.
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• Kristin Massamiri, MPT, ATC
• James Matsuba
• Makenna Maucher, OTR/L
• Carolyn Maxwell
• Cynthia Mayorga

• Massage Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.