Individual provider Active NPI

Jordan Scott, DPT

  • Physical Therapist
  • Lincolnton, NC
National Provider Identifier
1457115487
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22960 Issued in NC
Practice address
1428 E Main St Ste B
Lincolnton, NC 28092-3902
Phone
(704) 748-0516
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 P22960 NC Primary

Addresses

Primary practice location

1428 E Main St Ste B
Lincolnton, NC 28092-3902

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Other names 1

  • Jordan Schneeweiss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240920002266 NC Practitioner - Physical Therapist in Private Practice 7911448675 Reassigns benefits to 1 organization
I20260409002579 HI Practitioner - Physical Therapist in Private Practice 7911448675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Rehab IncGroup PAC ID 4587558846, 10 clinicians

Practice addresses (Care Compare)

114 Welton Way
Suite B
Mooresville, NC 28117-9251
Phone (704) 660-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Rehab Inc Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Comprehab LLC Physical Therapist PastSince Feb 11, 2024 Accepting new patients

Locations

114 Welton Way
Ste B
Mooresville, NC 28117
Phone (704) 660-6551

167 Gateway Blvd
Mooresville, NC 28117
Phone (704) 658-1095

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1457115487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 E MAIN ST STE B",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923902",
            "telephone_number": "704-748-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SCHNEEWEISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.