Scott O Ensign, MPT JSCC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006701 Issued in WA

Practice address

5205 Corporate Center CT SE
Suite C
Lacey, WA 98503-5901

Phone

(360) 412-1367

Fax

(360) 412-1391

NPI assigned

Jan 9, 2006

Last updated

May 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodland Creek Physical Therapy LLC

  • Specialist
  • Lacey, WA
  • NPI 1578640124
  Authorized official Same address or phone

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1205814266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CORPORATE CENTER CT SE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035901",
            "telephone_number": "360-412-1368",
            "fax_number": "360-412-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CORPORATE CENTER CT SE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035901",
            "telephone_number": "360-412-1367",
            "fax_number": "360-412-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "SCOTT",
        "middle_name": "O",
        "name_prefix": "Miss",
        "credential": "MPT JSCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Larue Engle
• Tia P Epona, LMT
• Ryan Erickson, LMHC
• Rachael Diane Esget
• Sierra Estella, DDS
• Katrina Estrada, BHCM

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.