Active NPI
Beatrice Scescke, LMT
- Massage Therapist
- Chicago, IL
National Provider Identifier
1740789387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227014734
- Practice address
- 3442 W Carroll Ave
Chicago, IL 60624-1915 - Phone
- (773) 332-9438
- NPI assigned
- Feb 9, 2018
- 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 | 227014734 | IL | Primary |
Addresses
Primary practice location
3442 W Carroll Ave
Chicago, IL 60624-1915
Mailing address
1843 S Racine Ave
Chicago, IL 60608-3213
Phone (773) 332-9438
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 |
|---|---|---|---|
| 227014734 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Island Traditional Medicine, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1740789387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 S RACINE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083213",
"telephone_number": "773-332-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 W CARROLL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606241915",
"telephone_number": "773-332-9438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCESCKE",
"first_name": "BEATRICE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227014734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.