Individual provider Active NPI

Wesley E Scott, PHYSICAL THERAPIST

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1235729401
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT299602 Issued in CA
Practice address
3187 Red Hill Ave Ste 200
Costa Mesa, CA 92626-3454
Phone
(714) 975-8011
NPI assigned
Jan 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 PT299602 CA Primary

Addresses

Primary practice location

3187 Red Hill Ave Ste 200
Costa Mesa, CA 92626-3454

Mailing address

20435 Via Burgos
Yorba Linda, CA 92887-3225
Phone (714) 329-1262

Other practice location 1

20435 Via Burgos
Yorba Linda, CA 92887-3225
Phone (714) 329-1262

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
PT299602CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Home Health Provider PastSince Jan 1, 2021 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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1235729401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20435 VIA BURGOS",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873225",
            "telephone_number": "714-329-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 RED HILL AVE STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263454",
            "telephone_number": "714-975-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20435 Via Burgos",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928873225",
            "country_code": "US",
            "telephone_number": "714-329-1262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WESLEY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.