Individual provider Active NPI

Ann Degruy Scanlon, PT

  • Physical Therapist
  • Williamsburg, VA
National Provider Identifier
1073648366
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202676 Issued in VA
Practice address
5700 Warhill TRL
Williamsburg, VA 23188-9419
Phone
(757) 912-2726
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202676 VA Primary
Physical Therapist 225100000X
Physical Therapist 225100000X PT00008746 WA

Addresses

Primary practice location

5700 Warhill TRL
Williamsburg, VA 23188-9419

Mailing address

5700 Warhill TRL
Williamsburg, VA 23188-9419
Phone (757) 912-2726

Other practice location 1

5424 Discovery Park Blvd
Suite 101
Williamsburg, VA 23188-2904
Phone (757) 345-2512

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

LicenseStateTypeSpecialty
2305202676VAMDPhysical Therapist
PT00008746WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Chiropractic, LLC PastSince Dec 29, 2015 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1073648366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 WARHILL TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889419",
            "telephone_number": "757-912-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WARHILL TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889419",
            "telephone_number": "757-912-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 Discovery Park Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882904",
            "country_code": "US",
            "telephone_number": "757-345-2512",
            "fax_number": "757-345-2512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "ANN",
        "middle_name": "DEGRUY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202676",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.