Individual provider Active NPI

Patricia Meyer Scott, PT

  • Physical Therapist
  • San Ramon, CA
National Provider Identifier
1205983335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8816 Issued in CA
Practice address
2817 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1639
Phone
(925) 838-9846
Fax
(925) 838-3254
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8816 CA Primary

Addresses

Primary practice location

2817 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1639

Mailing address

564 Cambridge Dr
Benicia, CA 94510-1316
Phone (707) 746-6487

Other identifiers 1

IdentifierTypeStateIssuer
00PT88161OtherCAPPIN

Other names 1

  • Miss Patricia Ann Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000269 CA Practitioner - Physical Therapist in Private Practice 9931113412 Practice locations: San Ramon, CA; Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1280 Boulevard Way
Suite 106
Walnut Creek, CA 94595-1100
Phone (925) 289-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8816CAMDPhysical Therapist
8816CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy Physical Therapist PastSince Jan 15, 1991 Accepting new patients

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205983335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 CAMBRIDGE DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101316",
            "telephone_number": "707-746-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 CROW CANYON RD",
            "address_2": "SUITE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831639",
            "telephone_number": "925-838-9846",
            "fax_number": "925-838-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICIA",
        "middle_name": "MEYER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "00PT88161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MEYER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.