Active NPI
Debora Ann Scheller, LMT
- Massage Therapist
- Phoenix, AZ
National Provider Identifier
1639468481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-12575
- Practice address
- 13231 N 35TH Ave
#A-6
Phoenix, AZ 85029-1233 - Phone
- (602) 380-3193
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-12575 | AZ | Primary |
Addresses
Primary practice location
13231 N 35TH Ave
#A-6
Phoenix, AZ 85029-1233
Mailing address
1329 W Sack Dr
Phoenix, AZ 85027-5450
Phone (602) 380-3193
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-12575 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1639468481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 W SACK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275450",
"telephone_number": "602-380-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13231 N 35TH AVE",
"address_2": "#A-6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850291233",
"telephone_number": "602-380-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLER",
"first_name": "DEBORA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-12575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.