Active NPI
Scott Alan Pawlicki, PT
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1164620282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3267
- Practice address
- 3025 Terrace Dr
Las Cruces, NM 88011-5053 - Phone
- (505) 556-2120
- Fax
- (505) 556-2190
- NPI assigned
- Jul 10, 2007
- 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 Therapist | 225100000X | 3267 | NM | Primary |
Addresses
Primary practice location
3025 Terrace Dr
Las Cruces, NM 88011-5053
Mailing address
3025 Terrace Dr
Las Cruces, NM 88011-5053
Phone (505) 556-2120
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 |
|---|---|---|---|
| 3267 | NM | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1164620282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 TERRACE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115053",
"telephone_number": "505-556-2120",
"fax_number": "505-556-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 TERRACE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115053",
"telephone_number": "505-556-2120",
"fax_number": "505-556-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLICKI",
"first_name": "SCOTT",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.