Scott J Rolls, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

453 Issued in NE

Practice address

414 N Wilson St
Blue Hill, NE 68930

Phone

(402) 756-2080

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1043494610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 GLENWOOD AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-462-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N WILSON ST",
            "city": "BLUE HILL",
            "state": "NE",
            "postal_code": "68930",
            "telephone_number": "402-756-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLS",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merten and Butler Mortuary, Inc. (Blue Hill Furniture)
• Ricky Myers
• Paula M Nelson
• Megan Lee Neumiller
• Pines at Blue Hill LLC
• Ronald J Karmazin (Rons Pharmacy)
• Whitney Stithem, OT
• The Mary Lanning Memorial Hospital a (Mary Lanning Hospice)
• The Mary Lanning Memorial Hospital Association (Blue Hill Medical Clinic)
• Shay Veronica Vanderloo, COTA

• Physical Therapy Assistant in Blue Hill, NE
• Providers in Blue Hill, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.