Active NPI
Peggy Jo Wasser Scott, PT
- Physical Therapist
- West Des Moines, IA
National Provider Identifier
1053755835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01953
- Practice address
- 6000 University Ave
Suite 203
West Des Moines, IA 50266-8203 - Phone
- (515) 241-2200
- Fax
- (515) 241-2201
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01953 | IA | Primary |
| Kinesiotherapist | 226300000X | 01953 | IA |
Addresses
Primary practice location
6000 University Ave
Suite 203
West Des Moines, IA 50266-8203
Mailing address
6000 University Ave
Suite 203
West Des Moines, IA 50266-8203
Phone (515) 241-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053755835 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01953 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1053755835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "SUITE 203",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668203",
"telephone_number": "515-241-2200",
"fax_number": "515-241-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "SUITE 203",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668203",
"telephone_number": "515-241-2200",
"fax_number": "515-241-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSER SCOTT",
"first_name": "PEGGY",
"middle_name": "JO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01953",
"primary": true
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "IA",
"license": "01953",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053755835",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.