Active NPI
Mary Walsh-Scott, P.T.
- Physical Therapist
- Storrs, CT
National Provider Identifier
1124356845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010121
- Practice address
- 9 Dog LN Ste 108
Storrs, CT 06268-2239 - Phone
- (860) 429-0899
- Fax
- (860) 429-0898
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- 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 Therapist | 225100000X | 010121 | CT | Primary |
Addresses
Primary practice location
9 Dog LN Ste 108
Storrs, CT 06268-2239
Mailing address
9 Dog LN Ste 108
Storrs, CT 06268-2239
Phone (860) 429-0899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191118000855 | CT | Practitioner - Physical Therapist in Private Practice | 5496898470 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010121 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients | |
| SSM Select Rehab St Louis LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Palm Harbor, FL
- NPI 1932109071
-
- Physical Medicine & Rehabilitation Physician
- Richmond Heights, MO
- NPI 1558403261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1124356845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DOG LN STE 108",
"city": "STORRS",
"state": "CT",
"postal_code": "062682239",
"telephone_number": "860-429-0899",
"fax_number": "860-429-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DOG LN STE 108",
"city": "STORRS",
"state": "CT",
"postal_code": "062682239",
"telephone_number": "860-429-0899",
"fax_number": "860-429-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH-SCOTT",
"first_name": "MARY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "010121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.