Individual provider Active NPI

Patrick Wyatt Scott, PT

  • Physical Therapist
  • San Marcos, CA
National Provider Identifier
1336500552
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19293 Issued in CA
Practice address
405 N Twin Oaks Valley Rd Ste 111
San Marcos, CA 92069-2954
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Mar 15, 2016
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 19293 CA Primary

Addresses

Primary practice location

405 N Twin Oaks Valley Rd Ste 111
San Marcos, CA 92069-2954

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 1

11838 Bernardo Plaza Ct Ste 101
San Diego, CA 92128-2414
Phone (844) 316-7979

Other practice location 2

2318 Proctor Valley Rd Ste 107
Chula Vista, CA 91914-6000
Phone (844) 316-7979

Other practice location 3

8866 Navajo Rd
San Diego, CA 92119-2100
Phone (844) 316-7979

Other practice location 4

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other practice location 5

1828 Oceanside Blvd
Oceanside, CA 92054-3452
Phone (844) 316-7979

Other practice location 6

12865 Pointe Del Mar Way Ste 190
Del Mar, CA 92014-3860
Phone (844) 316-7979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001867 CA Practitioner - Physical Therapist in Private Practice 6002105715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians
Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

1020 Tierra del Rey
Suite a 1
Chula Vista, CA 91910-7886
Phone (619) 585-7104

405 N Twin Oaks Valley Rd
Suite 111
San Marcos, CA 92069-2954
Phone (760) 653-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19293CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Livara Health Medical Group PC Physical Therapist CurrentSince Jun 5, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Sep 28, 2021 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Nov 3, 2019 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Jun 5, 2024 Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Jan 26, 2022 Accepting new patients

Locations

2318 Proctor Valley Rd
Ste 107
Chula Vista, CA 91914

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

1828 Oceanside Blvd
Oceanside, CA 92054

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

11838 Bernardo Plaza Ct
Ste 101
San Diego, CA 92128
Phone (844) 344-7979

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

8866 Navajo Rd
San Diego, CA 92119
Phone (619) 771-1030

405 N Twin Oaks Valley Rd
Ste 111
San Marcos, CA 92069
Phone (760) 653-2683

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pscott18930@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1336500552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N TWIN OAKS VALLEY RD STE 111",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692954",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11838 Bernardo Plaza Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282414",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Proctor Valley Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919146000",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8866 Navajo Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921192100",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7525 Metropolitan Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084404",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 Oceanside Blvd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920543452",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12865 Pointe Del Mar Way Ste 190",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920143860",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICK",
        "middle_name": "WYATT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.