Active NPI
Scott Douglas Heck, PTA
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1114794898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 32822
- Practice address
- 25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476 - Phone
- (407) 254-2500
- NPI assigned
- Dec 4, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 32822 | FL | Primary |
Addresses
Primary practice location
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Mailing address
899 Alberta St
Longwood, FL 32750-7548
Phone (407) 739-4549
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 |
|---|---|---|---|
| 32822 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1114794898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 ALBERTA ST",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327507548",
"telephone_number": "407-739-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064476",
"telephone_number": "407-254-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "SCOTT",
"middle_name": "DOUGLAS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "32822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.