Scott Ramon Luallen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3134 Issued in OH

Practice address

2760 Airport Dr.
Building C Suite 160
Columbus, OH 43219

Phone

(614) 866-8158

NPI assigned

Aug 4, 2008

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1104082684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 STONEMAST LOOP",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 AIRPORT DR.",
            "address_2": "BUILDING C SUITE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-866-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 McMillen Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551808",
            "country_code": "US",
            "telephone_number": "740-344-0357 x49",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUALLEN",
        "first_name": "SCOTT",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Yang Lu, MD
• Emily Lynn Lu
• Pamela W Lu, MD
• Peter Long-Shyang Lu, MD
• Wenze Lu
• Cindy Xinyi Luan
• Grace Luangisa, LSW
• Abella Rain Lubago
• Macdonald Lubago, RN
• Susan Marie Lubago, CNP

• Physical Therapy Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.