Individual provider Active NPI

Nicole Weithaas Scott, MPT

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1124289434
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27834 Issued in CA
Practice address
100 N 1St St Ste 103
Burbank, CA 91502-1845
Phone
(818) 846-7100
Fax
(818) 846-7101
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27834 CA Primary

Addresses

Primary practice location

100 N 1St St Ste 103
Burbank, CA 91502-1845

Mailing address

100 N 1St St Ste 103
Burbank, CA 91502-1845
Phone (818) 846-7100

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
27834CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Ahead Physical Therapy, Inc. Physical Therapist PastSince Aug 16, 2004 Accepting new patients

Organizations & group practices 1

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1124289434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 1ST ST STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021845",
            "telephone_number": "818-846-7100",
            "fax_number": "818-846-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 1ST ST STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021845",
            "telephone_number": "818-846-7100",
            "fax_number": "818-846-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NICOLE",
        "middle_name": "WEITHAAS",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.