Active NPI
James M Scollan, P.T.
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1447501770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015639
- Practice address
- 76 Melrose Ave
Staten Island, NY 10301-3629 - Phone
- (718) 986-8321
- Fax
- (718) 448-3740
- NPI assigned
- Sep 26, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015639 | NY | Primary |
Addresses
Primary practice location
76 Melrose Ave
Staten Island, NY 10301-3629
Mailing address
76 Melrose Ave
Staten Island, NY 10301-3629
Phone (718) 986-8321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150805006363 | NY | Practitioner - Physical Therapist in Private Practice | 5991019994 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Core Physical Therapy Services PC
Practice addresses (Care Compare)
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (917) 723-0667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015639 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore PT of Ny PC | Physical Therapist | Current | Accepting new patients |
| Core Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| In House Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| North Shore PT of Ny PC | Physical Therapist | Past | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
801 Narrows Rd N
Staten Island, NY 10304
Phone (718) 727-8498
Organizations & group practices 4
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
NY, Physical Therapist
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1003118829
NY, Physical Therapist
-
- Physical Therapist
- Staten Island, NY
- NPI 1922357102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1447501770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 MELROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013629",
"telephone_number": "718-986-8321",
"fax_number": "718-448-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 MELROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013629",
"telephone_number": "718-986-8321",
"fax_number": "718-448-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOLLAN",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.