Individual provider Active NPI

Patricia Van Scoy, OTR

  • Occupational Therapist
  • Medford, OR
National Provider Identifier
1003070251
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
398172 Issued in OR
Practice address
835 Crater Lake Ave
Medford, OR 97504-6505
Phone
(541) 773-7717
Fax
(541) 779-4460
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 398172 OR Primary

Addresses

Primary practice location

835 Crater Lake Ave
Medford, OR 97504-6505

Mailing address

835 Crater Lake Ave
Medford, OR 97504-6505
Phone (541) 773-7717

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
398172ORMDOccupational Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21605/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23750/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1003070251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046505",
            "telephone_number": "541-773-7717",
            "fax_number": "541-779-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046505",
            "telephone_number": "541-773-7717",
            "fax_number": "541-779-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCOY",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "398172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.