Individual provider Active NPI

Scott Alan Morrison, MASSAGE THERAPIST

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1629201660
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA33158 Issued in FL
Practice address
12909 N 56TH St
Ste 105
Tampa, FL 33617-1275
Phone
(813) 989-0861
Fax
(813) 464-7645
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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 MA33158 FL Primary

Addresses

Primary practice location

12909 N 56TH St
Ste 105
Tampa, FL 33617-1275

Mailing address

12909 N 56TH St
Ste 105
Tampa, FL 33617-1275
Phone (813) 989-0861

Other identifiers 1

IdentifierTypeStateIssuer
MA33158OtherFLSTAE OF FLORIDA MASSAGE THERAPIST LICENSE

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

LicenseStateTypeSpecialty
MA33158FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1629201660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12909 N 56TH ST",
            "address_2": "STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171275",
            "telephone_number": "813-989-0861",
            "fax_number": "813-464-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12909 N 56TH ST",
            "address_2": "STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171275",
            "telephone_number": "813-989-0861",
            "fax_number": "813-464-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA33158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAE OF FLORIDA MASSAGE THERAPIST LICENSE",
            "identifier": "MA33158",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.