Scott Patrick Shelton, PT, DPT

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

60976955 Issued in WA

Practice address

111 Bethel St NE
Olympia, WA 98506-4365

Phone

(360) 596-7532

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steamboat Physical Therapy, Inc.Group PAC ID 2365339348, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steamboat Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1912943762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003463233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 22ND AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013022",
            "telephone_number": "808-218-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BETHEL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064365",
            "telephone_number": "360-596-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "WA",
            "license": "60976955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL",
            "identifier": "3738549",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshelton@pugetsound.edu",
            "affiliation": "Y",
            "affiliationName": "University of Puget Sound",
            "address_1": "1500 N Warner St",
            "address_2": "CMB 1035",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984165000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dylan Jennings Shearer
• Katharine Shebesta, PHYSICIAN ASSISTANT
• Heidi Laurie Sheffels, LMP
• Vikky L Shekha
• Jeremiah M Shelton, PT
• Taelar A Shelton, ATC, LAT
• Elijah Shen, EMT
• Ryn Shendow
• Nathaniel Aaron Shepard
• Owen Shepard

• Pediatric Rehabilitation Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Pediatric Rehabilitation Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.