Active NPI
Eric Andrew Scott, LATC
- Athletic Trainer
- Ashland, MA
National Provider Identifier
1417083676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1507
- Practice address
- 65 E Union St
Ashland, MA 01721-1761 - Phone
- (508) 881-0177
- Fax
- (508) 881-0192
- NPI assigned
- Feb 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1507 | MA | Primary |
Addresses
Primary practice location
65 E Union St
Ashland, MA 01721-1761
Mailing address
4 Vernon Rd
Medway, MA 02053-1318
Phone (508) 321-1151
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 |
|---|---|---|---|
| 1507 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417083676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VERNON RD",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531318",
"telephone_number": "508-321-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E UNION ST",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211761",
"telephone_number": "508-881-0177",
"fax_number": "508-881-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ERIC",
"middle_name": "ANDREW",
"credential": "LATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.