Individual provider Active NPI

Scott Shurpin, CPT LMT

  • Mechanotherapist
  • Deerfield Beach, FL
National Provider Identifier
1013238070
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA 18217 Issued in FL
Practice address
201 SE 15TH Ter
Suite 201
Deerfield Beach, FL 33441-4464
Phone
(954) 591-0552
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 18217 FL Primary

Addresses

Primary practice location

201 SE 15TH Ter
Suite 201
Deerfield Beach, FL 33441-4464

Mailing address

201 SE 15TH Ter
Suite 201
Deerfield Beach, FL 33441-4464
Phone (954) 591-0552

Other identifiers 1

IdentifierTypeStateIssuer
MA 18217OtherI HAVE MY LICENSE NUMBER.

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
MA 18217FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1013238070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "954-591-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "954-591-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURPIN",
        "first_name": "SCOTT",
        "credential": "CPT LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA 18217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I HAVE MY LICENSE NUMBER.",
            "identifier": "MA 18217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.