Active NPI
Scott Wilson, PT
- Physical Therapist
- Covington Township, PA
National Provider Identifier
1295150282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00827800
- Practice address
- 367 Daleville Hwy
Covington Township, PA 18444-7834 - Phone
- (570) 991-1222
- NPI assigned
- Feb 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK001055 | PA | |
| Physical Therapist | 225100000X | PT006441L | PA | |
| Physical Therapist | 225100000X | 40QA00827800 | NJ | Primary |
Addresses
Primary practice location
367 Daleville Hwy
Covington Township, PA 18444-7834
Mailing address
367 Daleville Hwy
Covington TWP, PA 18444-7834
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
| License | State | Type | Specialty |
|---|---|---|---|
| AK001055 | PA | MD | Acupuncturist |
| 40QA00827800 | NJ | MD | Physical Therapist |
| PT006441L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1295150282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 DALEVILLE HWY",
"city": "COVINGTON TWP",
"state": "PA",
"postal_code": "184447834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 DALEVILLE HWY",
"city": "COVINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184447834",
"telephone_number": "570-991-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-27",
"last_updated": "2023-01-13",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001055",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006441L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00827800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.