Organization Active NPI

Corey Scott LMP, PLLC

Doing business as Puyallup Valley Massage

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1891475760
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COREY SCOTT LMP, PLLC
Doing business as
Puyallup Valley Massage
Practice address
105B W Main Ste 116
Puyallup, WA 98371-5329
Phone
(253) 238-2008
Fax
(844) 965-9478
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. Corey D Scott, LMTNPI 1679615223
Title
Owner/Operator
Phone
(253) 238-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

105B W Main Ste 116
Puyallup, WA 98371-5329

Mailing address

PO Box 1322
Puyallup, WA 98371-0123
Phone (253) 238-2008

Other identifiers 1

IdentifierTypeStateIssuer
16796615223MedicaidWA

Other names 1

  • Puyallup Valley Massage Doing business as

National Provider Directory

National Provider Directory

Locations

105 W Main
Ste 116
Puyallup, WA 98371
Phone (253) 238-2008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1891475760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710123",
            "telephone_number": "253-238-2008",
            "fax_number": "844-965-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B W MAIN STE 116",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715329",
            "telephone_number": "253-238-2008",
            "fax_number": "844-965-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY SCOTT LMP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "253-238-2008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16796615223",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puyallup Valley Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.