Individual provider Active NPI

Scott Ryan Fleming, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1831976687
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0025137 Issued in CO
Practice address
155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101
Phone
(719) 574-5500
Fax
(719) 471-9053
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 MT.0025137 CO Primary

Addresses

Primary practice location

155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101

Mailing address

155 Printers Pkwy Ste 110
Colorado Springs, CO 80910-6101
Phone (719) 574-5500

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
MT.0025137COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Foundations Inc CurrentSince Sep 17, 2023 Accepting new patients

Locations

155 Printers Pkwy
Ste 110
Colorado Springs, CO 80910
Phone (719) 574-5500

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1831976687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106101",
            "telephone_number": "719-574-5500",
            "fax_number": "719-471-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106101",
            "telephone_number": "719-574-5500",
            "fax_number": "719-471-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SCOTT",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0025137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.