Active NPI
Scott Alan Penington, PT, DPT
- Physical Therapist
- Mukilteo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60689962
- Practice address
- 4410 106TH St SW
Mukilteo, WA 98275-4700 - Phone
- (425) 493-6080
- Fax
- (425) 339-4219
- NPI assigned
- Dec 14, 2016
- Last updated
- Jul 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38262 | CA | |
| Physical Therapist | 225100000X | PT60689962 | WA | Primary |
Addresses
Primary practice location
4410 106TH St SW
Mukilteo, WA 98275-4700
Mailing address
12121 Harbour Reach Dr
Mukilteo, WA 98275-5314
Phone (425) 493-8313
Other practice location 1
12121 Harbour Reach Dr
Mukilteo, WA 98275-5314
Phone (425) 493-8313
Other practice location 2
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-5419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38262 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
12040 NE 128th St
Stop 10
Kirkland, WA 98034
Organizations & group practices 4
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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1235673914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 HARBOUR REACH DR",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755314",
"telephone_number": "425-493-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 106TH ST SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982754700",
"telephone_number": "425-493-6080",
"fax_number": "425-339-4219"
}
],
"practiceLocations": [
{
"address_1": "12121 Harbour Reach Dr",
"address_purpose": "LOCATION",
"city": "Mukilteo",
"state": "WA",
"postal_code": "982755314",
"country_code": "US",
"telephone_number": "425-493-8313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3927 Rucker Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014833",
"country_code": "US",
"telephone_number": "425-339-5419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENINGTON",
"first_name": "SCOTT",
"middle_name": "ALAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38262",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60689962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.