Individual provider Active NPI

Scott A Wheeler, ATC/L, CSCS, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1104891654
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9105729 Issued in FL
Practice address
7975 Lake Underhill Rd Ste 330
Orlando, FL 32822-8210
Phone
(844) 407-4070
Fax
(407) 743-3050
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 1414 FL
Medical Physician Assistant 363AM0700X PA 9105729 FL
Surgical Physician Assistant 363AS0400X PA 9105729 FL
Surgical Physician Assistant 363AS0400X PA9105729 FL
Physician Assistant 363A00000X PA 9105729 FL Primary

Addresses

Primary practice location

7975 Lake Underhill Rd Ste 330
Orlando, FL 32822-8210

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000542 FL Practitioner - Physician Assistant 7315135803 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AL 1414FLMDAthletic Trainer
PA 9105729FLMDSurgical Physician Assistant
PA9105729FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Feb 28, 2022 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Aug 10, 2015 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Aug 10, 2015 Accepting new patients
Sigma Medical Group, LLC PastSince Jun 28, 2017 Accepting new patients
Orange Ave Consulting PastSince Jul 28, 2014 Accepting new patients

Locations

7975 Lake Underhill Rd
Ste 330
Orlando, FL 32822
Phone (407) 303-6566

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1104891654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 330",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228210",
            "telephone_number": "844-407-4070",
            "fax_number": "407-743-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "ATC/L, CSCS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1414",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9105729",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9105729",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105729",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.