Active NPI
Scott Guthart
- Human Factors Physical Therapist
- Islandia, NY
National Provider Identifier
1073088555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Human Factors Physical Therapist
- License
- 042483
- Practice address
- 1770 Motor Pkwy Ste 202
Islandia, NY 11749-5260 - Phone
- (631) 460-5411
- NPI assigned
- Oct 10, 2018
- 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 |
|---|---|---|---|---|
| Human Factors Physical Therapist | 2251H1300X | 042483 | NY | Primary |
Addresses
Primary practice location
1770 Motor Pkwy Ste 202
Islandia, NY 11749-5260
Mailing address
41 Redan Dr
Smithtown, NY 11787-4458
Phone (516) 474-6714
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042483 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1073088555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 REDAN DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874458",
"telephone_number": "516-474-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 MOTOR PKWY STE 202",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495260",
"telephone_number": "631-460-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHART",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "NY",
"license": "042483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.