Active NPI
Justin Allen Scott, CO
- Orthotist
- Everett, WA
National Provider Identifier
1386202729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 60846201
- Practice address
- 4009 Colby Ave
Everett, WA 98201-4928 - Phone
- (425) 252-8745
- NPI assigned
- May 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 60846201 | WA | Primary |
Addresses
Primary practice location
4009 Colby Ave
Everett, WA 98201-4928
Mailing address
4009 Colby Ave
Everett, WA 98201-4928
Phone (425) 252-5309
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 |
|---|---|---|---|
| 60846201 | WA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1386202729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014928",
"telephone_number": "425-252-5309",
"fax_number": "425-252-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014928",
"telephone_number": "425-252-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JUSTIN",
"middle_name": "ALLEN",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "60846201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.