Individual provider Active NPI

James M Scollan, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1447501770
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015639 Issued in NY
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

Updated by the provider on Sep 26, 2012

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 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 IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 4486087442, 27 clinicians

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

LicenseStateTypeSpecialty
015639NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore PT of Ny PC Physical Therapist CurrentSince Jul 8, 2019 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
In House Physical Therapy PLLC Physical Therapist CurrentSince Nov 30, 2024 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.

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.

Verify at the official NPI Registry.