Scott Daniel Parks

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016510 Issued in MI

Practice address

10078 Lapeer Rd
Ste B
Davison, MI 48423-9031

Phone

(810) 653-6200

NPI assigned

Oct 2, 2013

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1013344290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10078 LAPEER RD",
            "address_2": "STE B",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239031",
            "telephone_number": "810-653-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Novelli
• Dustin Oprisiu, CPT
• Alicia Guzman Pace
• Shrenik Udayan Parikh
• Paula Lynne Parker-Kabana, CCC-SLP
• Stacy Ann Parsons, MA, CCC-SLP
• Pooja Patel, PA-C
• Tejas Pravinchandra Patel, PHARM.D.
• Gina Salazar Patenaude, LMSW
• Pco PC

• Physical Therapist in Davison, MI
• Providers in Davison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.