Individual provider Active NPI

Bill H Scott, PTA

  • Physical Therapy Assistant
  • Farmington, NM
National Provider Identifier
1154020360
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1679 Issued in NM
Practice address
3701 Messina Dr Ste 108
Farmington, NM 87402-4780
Phone
(505) 258-4003
Fax
(505) 436-2740
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1679 NM Primary

Addresses

Primary practice location

3701 Messina Dr Ste 108
Farmington, NM 87402-4780

Mailing address

3701 Messina Dr Ste 108
Farmington, NM 87402-4780
Phone (505) 258-4003

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

LicenseStateTypeSpecialty
PTA1679NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Physical Therapy Inc CurrentSince Mar 5, 2023 Accepting new patients

Locations

3701 Messina Dr
Ste 108
Farmington, NM 87402
Phone (505) 258-4003

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1154020360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MESSINA DR STE 108",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024780",
            "telephone_number": "505-258-4003",
            "fax_number": "505-436-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MESSINA DR STE 108",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024780",
            "telephone_number": "505-258-4003",
            "fax_number": "505-436-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BILL",
        "middle_name": "H",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.