NPIMap

Individual provider Active NPI

Kristin Kent Scarle, PT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1275700767
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05176 Issued in LA
Practice address
770 Gause Blvd Ste F
Slidell, LA 70458-2855
Phone
(985) 649-9123
Fax
(985) 649-9129
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 05176 LA Primary

Addresses

Primary practice location

770 Gause Blvd Ste F
Slidell, LA 70458-2855

Mailing address

1624 Audubon Pkwy
Madisonville, LA 70447-3262
Phone (225) 241-4212

Other practice location 1

330 Falconer Dr Ste D-F
Covington, LA 70433-8210
Phone (985) 805-2555

Other practice location 2

389 Highway 21 Ste 403
Madisonville, LA 70447-3441
Phone (985) 792-5996

Other practice location 3

5001 Highway 190 East Service Rd Ste D6
Covington, LA 70433-4956
Phone (985) 805-2555

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican State Physical Therapy Limited Partnership Past Accepting new patients
Health Quest Physical Therapy Physical Therapist PastSince Sep 10, 1999 Accepting new patients
Pelican State Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1275700767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 AUDUBON PKWY",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473262",
            "telephone_number": "225-241-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Falconer Dr Ste D-F",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338210",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "389 Highway 21 Ste 403",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "LA",
            "postal_code": "704473441",
            "country_code": "US",
            "telephone_number": "985-792-5996",
            "fax_number": "985-792-5998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Highway 190 East Service Rd Ste D6",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704334956",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARLE",
        "first_name": "KRISTIN",
        "middle_name": "KENT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "05176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.