Active NPI
Scott Louis Sheffler
- Physical Therapist
- Everett, WA
National Provider Identifier
1013293174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 00005382
- Practice address
- 2930 Maple St
Everett, WA 98201-3832 - Phone
- (425) 261-1500
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 00005382 | WA | Primary |
Addresses
Primary practice location
2930 Maple St
Everett, WA 98201-3832
Mailing address
4509 Interlake Ave N # 235
Seattle, WA 98103-6782
Other practice location 1
40 Eastern Ave.
Malden, MA 02148
Phone (800) 760-5196
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 00005382 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Country Travcorps | Past | Accepting new patients |
Interoperability endpoints
- ssheffler84378@ghc.direct-ci.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Malden, MA
- NPI 1376827469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1013293174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 INTERLAKE AVE N # 235",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500"
}
],
"practiceLocations": [
{
"address_1": "40 Eastern Ave.",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "02148",
"country_code": "US",
"telephone_number": "800-760-5196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEFFLER",
"first_name": "SCOTT",
"middle_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 00005382",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2930 Maple St",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982013832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.