Cory Marcus Scott, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22687 Issued in FL

Practice address

1003 College Blvd W
Suite 1
Niceville, FL 32578-1068

Phone

(850) 862-1999

NPI assigned

Jan 15, 2010

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Primetime Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1083911754
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1023349040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COLLEGE BLVD W",
            "address_2": "SUITE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781068",
            "telephone_number": "850-862-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COLLEGE BLVD W",
            "address_2": "SUITE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781068",
            "telephone_number": "850-862-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CORY",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Schroeder, M.D.
• Brian Schuessler, D.C.
• Elise Nicole Schuyten, OTR/L
• Scott Beals DO PA (Dermatology Surgery Center)
• Scott Eye & Vision LLC
• Seabreeze Endodontics, PA
• Erika Steele Seagle, CPNP-PC
• Second Optometric Care of Florida PA (Palm Eye Care)
• Second Optometric Care of Florida PA
• Carlyn Seese

• Physical Therapist in Niceville, FL
• Providers in Niceville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.