Individual provider Active NPI

Coralea Scranta, LMT/NCBTMB

  • Massage Therapist
  • Elfrida, AZ
National Provider Identifier
1760149926
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9025 Issued in AR
Practice address
4887 W Gleeson Rd
Elfrida, AZ 85610-9059
Phone
(520) 508-5395
NPI assigned
Nov 23, 2021
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2000288 AZ
Massage Therapist 225700000X 1859 AR
Massage Therapist 225700000X 9025 AR Primary
Community/Behavioral Health Agency 251S00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

4887 W Gleeson Rd
Elfrida, AZ 85610-9059

Mailing address

4887 W Gleeson Rd
Elfrida, AZ 85610-9059
Phone (520) 508-5395

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cypsych@yahoo.com Health Information Exchange (HIE)

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
1859ARMDMassage Therapist
9025ARMDMassage Therapist
2000288AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1760149926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 W GLEESON RD",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856109059",
            "telephone_number": "520-508-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 W GLEESON RD",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856109059",
            "telephone_number": "520-508-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRANTA",
        "first_name": "CORALEA",
        "credential": "LMT/NCBTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "2000288",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "1859",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "9025",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cypsych@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4887 W Gleeson Rd",
            "city": "Elfrida",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856109059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elfrida, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.