Individual provider Active NPI

Scott Wilson, P.T.

  • Specialist
  • California, PA
National Provider Identifier
1316975931
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT015394 Issued in PA
Practice address
228 Wood St
California, PA 15419-1049
Phone
(724) 938-0310
Fax
(724) 938-0312
NPI assigned
Jun 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT015394 PA Primary

Addresses

Primary practice location

228 Wood St
California, PA 15419-1049

Mailing address

228 Wood St
California, PA 15419-1049
Phone (724) 938-0310

Other identifiers 1

IdentifierTypeStateIssuer
0015935850005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000246 PA Practitioner - Physical Therapist in Private Practice 3072664291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hess Physical Therapy LLCGroup PAC ID 1557253077, 22 clinicians

Practice addresses (Care Compare)

1569 Smith Township State Rd
Suite 2
Burgettstown, PA 15021-2832
Phone (724) 947-9999

566 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone (412) 771-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc CurrentSince Jul 1, 2009 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. CurrentSince Jul 1, 2009 Accepting new patients
The Physical Therapy Institute Past Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc OT Past Accepting new patients

Locations

228 Wood St
California, PA 15419
Phone (724) 938-0310

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-1673

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316975931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WOOD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191049",
            "telephone_number": "724-938-0310",
            "fax_number": "724-938-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WOOD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191049",
            "telephone_number": "724-938-0310",
            "fax_number": "724-938-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT015394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.