Individual provider Active NPI

Scott Parrish, DPT

  • Physical Therapist
  • Dana Point, CA
National Provider Identifier
1043459183
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296667 Issued in CA
Practice address
24941 Dana Point Harbor Dr Ste C120
Dana Point, CA 92629-2918
Phone
(949) 373-5054
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00021182 WA
Physical Therapist 225100000X 296667 CA Primary

Addresses

Primary practice location

24941 Dana Point Harbor Dr Ste C120
Dana Point, CA 92629-2918

Mailing address

24941 Dana Point Harbor Dr Ste C120
Dana Point, CA 92629-2918
Phone (949) 373-5054

Other practice location 1

1575 NW Mall St
Issaquah, WA 98027-8947
Phone (425) 391-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000772 CA Practitioner - Physical Therapist in Private Practice 1759615214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wav Wellness and Vitality Inc.Group PAC ID 8022342583, 3 clinicians

Practice addresses (Care Compare)

3551 Camino Mira Costa
Suite N
San Clemente, CA 92672-3508
Phone (949) 373-5054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA00021182WAMDSpecialist
296667CAMDPhysical Therapist
16517CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wav Wellness and Vitality Inc. Physical Therapist CurrentSince May 17, 2019 Accepting new patients
Vorteil Dermatology and Aesthetic Science, Inc Past Accepting new patients

Locations

24941 Dana Point Harbor Dr
Ste C120
Dana Point, CA 92629
Phone (949) 276-2600

3551 Camino Mira Costa
Ste N
San Clemente, CA 92672
Phone (949) 373-5054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1043459183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24941 DANA POINT HARBOR DR STE C120",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292918",
            "telephone_number": "949-373-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24941 DANA POINT HARBOR DR STE C120",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292918",
            "telephone_number": "949-373-5054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 NW Mall St",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980278947",
            "country_code": "US",
            "telephone_number": "425-391-2632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021182",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.