Individual provider Active NPI

Scott Maston Williams, ATC, CSCS, LMT

  • Athletic Trainer
  • Miramar Beach, FL
National Provider Identifier
1043244734
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL3695 Issued in FL
Practice address
123 Hwy98
Miramar Beach, FL 32550-1003
Phone
(850) 305-9127
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL3695 FL Primary
Massage Therapist 225700000X MA41969 FL

Addresses

Primary practice location

123 Hwy98
Miramar Beach, FL 32550-1003

Mailing address

PO Box 6308
Miramar Beach, FL 32550-1003
Phone (850) 305-9127

Other identifiers 2

IdentifierTypeStateIssuer
C3880OtherFLBLUE CROSS/BLUE SHIELD
1043244734OtherFLNPI-NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM

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
AL3695FLMDAthletic Trainer
MA41969FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1043244734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6308",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501003",
            "telephone_number": "850-305-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HWY98",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501003",
            "telephone_number": "850-305-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCOTT",
        "middle_name": "MASTON",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3695",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "C3880",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
            "identifier": "1043244734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.