Scott D Kingsbury, ORTHOPEDIC THERAPIST

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MA30910 Issued in FL

Practice address

1300 Croton Rd
Melbourne, FL 32935-3164

Phone

(321) 693-3879

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1902245541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CROTON RD",
            "address_2": "P.O. BOX 360654",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353164",
            "telephone_number": "321-693-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CROTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353164",
            "telephone_number": "321-693-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "ORTHOPEDIC THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA30910",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "MA30910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby Jasmine King, M.A., CCC-SLP
• Melody O. King, M.D.
• Nancy Lee King
• Richard Thomas King V, PT
• Emma Kingett
• Kristen Kinker, OTR/L
• Kathryn Kinney, LCSW, BCBA
• Melissa Kinsey
• June Kirwin
• Lisa Kistler, PHARMD

• Reflexologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Reflexologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.