Daria Scott, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002183A Issued in IN

Practice address

2401 Oakbrook Dr
South Bend, IN 46628-3495

Phone

(574) 904-5155

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daria Bradley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1265704019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 OAKBROOK DRIVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46628",
            "telephone_number": "574-904-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 OAKBROOK DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283495",
            "telephone_number": "574-904-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DARIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002183A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIA",
            "last_name": "BRADLEY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Gay Schwartz, LCSW
• Bruce H Schwartz, M.D.
• Courtney Schweiger, BCBA
• Scooter Warehouse Inc.
• Christine E Scott
• Joshua J Scott
• Lisa Ann Scott
• Mackenzie Scott
• Mian Scott
• Michelle Scott, MD

• Physical Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.