Individual provider Active NPI

Kathryn Scott Davis, MSPT, DPT

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1275747743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29384 Issued in CA
Practice address
907 Embarcadero Dr
El Dorado Hills, CA 95762-4087
Phone
(916) 933-1221
Fax
(916) 933-0871
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT29384 CA Primary

Addresses

Primary practice location

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087

Mailing address

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087
Phone (916) 933-1221

Other identifiers 1

IdentifierTypeStateIssuer
PT29384OtherCALICENSE NUMBER

Other names 1

  • Kathryn Scott Former name

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
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2010 Accepting new patients

Locations

907 Embarcadero Dr
El Dorado Hills, CA 95762
Phone (916) 355-1250

990 Riley St
Folsom, CA 95630
Phone (916) 335-1250

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275747743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "916-933-1221",
            "fax_number": "916-933-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "916-933-1221",
            "fax_number": "916-933-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHRYN",
        "middle_name": "SCOTT",
        "credential": "MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT29384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.