Patrice I Scott, LMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT125071 Issued in TX

Practice address

2425 Taylor St Apt 11138
Dallas, TX 75201-5949

Phone

(469) 978-6548

Fax

(469) 978-6548

NPI assigned

Feb 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1861992737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TIME2RELAX LLC",
            "address_2": "2425 TAYLOR ST #11138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015949",
            "telephone_number": "469-978-6548",
            "fax_number": "469-978-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 TAYLOR ST APT 11138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015949",
            "telephone_number": "469-978-6548",
            "fax_number": "469-978-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICE",
        "middle_name": "I",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT125071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED IN THERAPEUTIC MASSAGE & BODYWORK",
            "identifier": "511896-06",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MT125071",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Scott Jr., D.C.
• Marvetta A. Scott, M.D.
• Meagan Scott
• Melissa Kay Scott, M.S. CCC/SLP
• Michael Edward Scott, CAA
• Rayterain Scott, LMSW
• Robyn Scott
• Sarita Scott, SLP
• Severa Rosalee Scott
• Shakiya Scott

• Massage Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.