Reggie Scott Scott Jr.
Individual provider Active NPI Rehabilitation Practitioner · Earth City, MO
NPI 1356765374 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1356765374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- License
- 060202019 (MO)
- Practice address
- 1 Rams Way
Earth City, MO 63045-1523 - Phone
- (314) 982-7267
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060202019 | MO | MD | Rehabilitation Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 060202019 | MO | Yes |
Addresses
Primary practice location
1 Rams Way
Earth City, MO 63045-1523
Mailing address
1 Rams Way
Earth City, MO 63045-1523
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All providers in Earth City, MO · Rehabilitation Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.