Scott Anthony Ubrick, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23566 Issued in CA

Practice address

1252 Broadway
Suite B
Placerville, CA 95667-5822

Phone

(530) 622-9410

Fax

(530) 622-9445

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fitzpatrick Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Placerville, CA
  • NPI 1295783900

  Physical Therapist

  NPD
• Capitol Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1649288648

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1255340956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675822",
            "telephone_number": "530-622-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675822",
            "telephone_number": "530-622-9410",
            "fax_number": "530-622-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBRICK",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PT23566",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1650 Response Rd",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958154807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle V. Trettenero, LAC
• Amy Triplett, RD
• John Tucker, MD
• Jessica Turnbull
• Gia Tyler, MFTI
• Julie Ulloa
• Brent Charles Ulrici
• Catherine Maria Underwood, MFT
• Michael Ungeheuer, RN MN PHN
• Patricia Ann Urban

• Physical Therapist in Placerville, CA
• Providers in Placerville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.