Individual provider Active NPI

Amber L Scouller, PT

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1003428012
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61057792 Issued in WA
Practice address
4700 Point Fosdick Dr Ste 213
Gig Harbor, WA 98335-1706
Phone
(253) 851-5718
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61057792 WA Primary

Addresses

Primary practice location

4700 Point Fosdick Dr Ste 213
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr Ste 213
Gig Harbor, WA 98335-1706
Phone (253) 851-5718

Other names 1

  • Amber Lynn Snyder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014001323 WA Practitioner - Physical Therapist in Private Practice 2365862232 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2727 Hollycroft St
Suite 310
Gig Harbor, WA 98335-1312
Phone (253) 514-6757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61057792WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Dec 14, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Multicare Health System CurrentSince Dec 14, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Point Fosdick Physical Therapy, Inc PS Physical Therapist CurrentSince Aug 19, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients

Locations

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

6659 Kimball Dr
Ste A101
Gig Harbor, WA 98335
Phone (253) 627-7012

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757

4700 Point Fosdick Dr
Ste 213
Gig Harbor, WA 98335
Phone (253) 851-5718

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1003428012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 213",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 213",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOULLER",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61057792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SNYDER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.