Active NPI
Scot Allen Embry, PT
- Physical Therapist
- Coos Bay, OR
National Provider Identifier
1386679785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6392
- Practice address
- 1740 Thompson Rd
Coos Bay, OR 97420-2151 - Phone
- (541) 266-3658
- Fax
- (541) 267-5395
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6953 | TN | |
| Physical Therapist | 225100000X | 6392 | OR | Primary |
Addresses
Primary practice location
1740 Thompson Rd
Coos Bay, OR 97420-2151
Mailing address
1037 Montgomery Ave
Coos Bay, OR 97420-3161
Phone (541) 266-3658
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6392 | OR | MD | Physical Therapist |
| 6953 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
| MSK Group, PC | Physical Therapist | Past | Accepting new patients |
| HMZ Ventures Corporation | Past | Accepting new patients | |
| MSK Group, PC | Physical Therapist | Past | Accepting new patients |
| South Coast Orthopaedic Associates, PC | Past | Accepting new patients | |
| Memphis Orthopaedic Group PC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Nephrology Physician
- North Bend, OR
- NPI 1558824391
-
- Orthopaedic Surgery Physician
- Coos Bay, OR
- NPI 1245284751
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1386628329
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1386679785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MONTGOMERY AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974203161",
"telephone_number": "541-266-3658",
"fax_number": "541-267-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202151",
"telephone_number": "541-266-3658",
"fax_number": "541-267-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "SCOT",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6953",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.