Individual provider Active NPI

Scott R Phelps, OT

  • Neurorehabilitation Occupational Therapist
  • Mogadore, OH
National Provider Identifier
1184605289
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OT 00748 Issued in OH
Practice address
35 N Cleveland Ave
Allied Health Rehab Center
Mogadore, OH 44260-1365
Phone
(330) 628-0736
Fax
(330) 628-0739
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 00748 OH
Hand Occupational Therapist 225XH1200X OT 00748 OH
Neurorehabilitation Occupational Therapist 225XN1300X OT 00748 OH Primary

Addresses

Primary practice location

35 N Cleveland Ave
Allied Health Rehab Center
Mogadore, OH 44260-1365

Mailing address

533 E Main St
Ravenna, OH 44266-3218
Phone (330) 297-9020

Other identifiers 1

IdentifierTypeStateIssuer
OT 00748OtherOHOHIO BOARD OF PT OT ATC

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
748OHMDNutrition Chiropractor
OT 00748OHMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: sphelps39020@ehrdirect.uhhospitals.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184605289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663218",
            "telephone_number": "330-297-9020",
            "fax_number": "330-297-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N CLEVELAND AVE",
            "address_2": "ALLIED HEALTH REHAB CENTER",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601365",
            "telephone_number": "330-628-0736",
            "fax_number": "330-628-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 00748",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "OT 00748",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OH",
            "license": "OT 00748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PT OT ATC",
            "identifier": "OT 00748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mogadore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.