Ian Scollins, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8663 Issued in SC

Practice address

420 South Herlong Ave
Suite 104
Rock Hill, SC 29732-1091

Phone

(839) 274-3013

Fax

(839) 274-3014

NPI assigned

Aug 2, 2013

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag28 LLCGroup PAC ID 1658811252, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jag28 LLC

  • Physical Therapist
  • Rock Hill, SC
  • NPI 1801655832
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1396177234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HERLONG AVE S STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321091",
            "telephone_number": "839-274-3013",
            "fax_number": "839-274-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOUTH HERLONG AVE",
            "address_2": "SUITE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321091",
            "telephone_number": "839-274-3013",
            "fax_number": "839-274-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLLINS",
        "first_name": "IAN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Schroeder, MD
• Schryver Medical Sales and Marketing, LLC
• Matthew K Schuster
• Matthew Allen Schwartz, MD
• Amanda Patterson Scobey, AU.D.
• Allese Renee Scott
• Cara Scott
• Cory Scott
• Marie-Alpha Scott
• Antwanette Scriven, BCBA

• Physical Therapist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.