Cory Amber Scurlock, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22114 Issued in CA

Practice address

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

Phone

(800) 696-9747

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Massage Ink, LLC

  • Massage Therapist
  • San Clemente, CA
  • NPI 1427744507
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1619662061",
    "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": "800-696-9747"
        },
        {
            "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": "800-696-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCURLOCK",
        "first_name": "CORY",
        "middle_name": "AMBER",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "22114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Ly Schofer, P.T.A.
• Nicole Schouten, PTA
• Darcy Schroer, PA
• Allen J Schultz, DDS
• Scor Physical Therapy Inc (San Clemente Orthopedic Rehab)
• Sea View Orthopaedic Medical Group Apc
• Staci A. Self, P.T.
• Senior Care Medical Associates, Inc.
• Sensory Neurostimulation Inc (Relaxis)
• Sepideh Forstie

• 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 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.