Individual provider Active NPI

Scarlet Mahina Ewing, DPT

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1417358912
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011682 Issued in GA
Practice address
6010 Lakeside Commons Drive
Suite D
Macon, GA 31210
Phone
(478) 254-6880
Fax
(478) 254-6883
NPI assigned
Sep 16, 2014
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011682 GA Primary

Addresses

Primary practice location

6010 Lakeside Commons Drive
Suite D
Macon, GA 31210

Mailing address

150 Osigian Blvd
Suite 300
Warner Robins, GA 31088
Phone (478) 333-3075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102000981 HI Practitioner - Physical Therapist in Private Practice 2860715059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Hawaii Rehab IncGroup PAC ID 7911800305, 2 clinicians

Practice addresses (Care Compare)

116 Hualalai St
Suite 101
Hilo, HI 96720-3820
Phone (808) 969-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011682GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Hawaii Rehab, Inc. Physical Therapist CurrentSince Jan 2, 2018 Accepting new patients
R. Jason Kent Physical Therapy Physical Therapist Past Accepting new patients
Dwight James Lin MD Inc PastSince Jan 2, 2018 Accepting new patients

Locations

116 Hualalai St
Ste 101
Hilo, HI 96720
Phone (808) 528-5500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1417358912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD",
            "address_2": "SUITE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 LAKESIDE COMMONS DRIVE",
            "address_2": "SUITE D",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-254-6880",
            "fax_number": "478-254-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "SCARLET",
        "middle_name": "MAHINA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.