Scott Anthony Deciantis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

491 Issued in SC

Practice address

471 University Parkway
Usca Atep
Aiken, SC 29801

Phone

(803) 641-3207

Fax

(803) 641-3723

NPI assigned

Aug 7, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of South Carolina Aiken

  • Athletic Trainer
  • Aiken, SC
  • NPI 1790111094
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003825969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 WESTMONT DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012969",
            "telephone_number": "803-439-1677",
            "fax_number": "803-641-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 UNIVERSITY PARKWAY",
            "address_2": "USCA ATEP",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-641-3207",
            "fax_number": "803-641-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECIANTIS",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Day, LPC
• Dca of Aiken, LLC
• De Graaf LLC
• Eleanor Ingrid De Witt, LPN
• Laura Willing Deal, MCD,CCC-SLP
• Audrey Lynn Decker, RDN
• Deealice Moton HCSR
• Grant Deedy, MD
• Alyssa Marie Degnan, D.O.
• Brittany Anne Dejarnett, M.S. CCC-SLP

• Athletic Trainer in Aiken, SC
• Providers in Aiken, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.