Active NPI
Kenneth Goldie Scott, OTR
- Occupational Therapist
- Pearland, TX
National Provider Identifier
1023639838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111066
- Practice address
- 2907 Broadway Bend Dr
Pearland, TX 77584-2236 - Phone
- (832) 699-2335
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111066 | TX | Primary |
Addresses
Primary practice location
2907 Broadway Bend Dr
Pearland, TX 77584-2236
Mailing address
17226 Pine Hollow Landing CT
Houston, TX 77084-7801
Phone (281) 222-4595
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Rehabilitation Clinics, LLC | Occupational Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Niles, OH
- NPI 1568085579
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1023639838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17226 PINE HOLLOW LANDING CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847801",
"telephone_number": "281-222-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 BROADWAY BEND DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842236",
"telephone_number": "832-699-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KENNETH",
"middle_name": "GOLDIE",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.