Scott David Carow, DPT
Individual provider Active NPI Physical Therapist · Fort Drum, NY
NPI 1083715213 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083715213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 028555 (NY)
- Practice address
- 11050 Mount Belvedere Blvd
USA Meddac Attn: Credentials
Fort Drum, NY 13602-5438 - Phone
- (315) 772-4025
- Fax
- (315) 772-9498
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercymed of Columbus Inc
Practice addresses (Care Compare)
3702 2ND Ave
Columbus, GA 31904-7408
Phone (706) 507-9209
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016003311 | GA | Practitioner - Physical Therapist in Private Practice | 7719218023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028555 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercymed of Columbus Inc | Current |
Accepting new patients |
Locations
3702 2nd Ave
Columbus, GA 31904
Phone (706) 507-9209
Interoperability endpoints
- https://api.platform.athenahealth.com/8710/brand/1/csg/1/fhir/r4
- scott.carow.1@8710.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028555 | NY | Yes |
Addresses
Primary practice location
11050 Mount Belvedere Blvd
USA Meddac Attn: Credentials
Fort Drum, NY 13602-5438
Mailing address
431 S Massey St
Watertown, NY 13601-3248
Phone (315) 681-4201
Other providers in Fort Drum, NY
- Breanna Burns
- John W Cadin
- Ryan S. Calhoun
- Morgan Elizabeth Callari
- Amber Donn Cantey
- Michael Harris Carpenter
- Orrin Carpenter
- Joseph Cassaro III
- Jocey Aleah Cato
- Tonya Kay Chaffins
All providers in Fort Drum, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.