Individual provider Active NPI

Buelah E Scott, OT

  • Occupational Therapist
  • Lady Lake, FL
National Provider Identifier
1295798965
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5010 Issued in FL
Practice address
13940 N US Highway 441
Suite 702
Lady Lake, FL 32159-8908
Phone
(352) 751-1095
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5010 FL Primary

Addresses

Primary practice location

13940 N US Highway 441
Suite 702
Lady Lake, FL 32159-8908

Mailing address

PO Box 490210
Leesburg, FL 34749-0210
Phone (352) 751-1095

Other identifiers 1

IdentifierTypeStateIssuer
Z063XOtherFLBLUE SHIELD PROV NUMBER

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

LicenseStateTypeSpecialty
OT5010FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Coast Therapy Services, Inc. Current Accepting new patients
HH R5 Partners Operating, LLC Current Accepting new patients
All Coast Therapy Services Outpatient Inc PastSince Jan 1, 2024 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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1295798965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490210",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490210",
            "telephone_number": "352-751-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441",
            "address_2": "SUITE 702",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598908",
            "telephone_number": "352-751-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BUELAH",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "Z063X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.