Active NPI
Gary Scott
- Physical Therapy Assistant
- Red Oak, IA
National Provider Identifier
1457598559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00435
- Practice address
- 2301 Eastern Ave
Red Oak, IA 51566-1300 - Phone
- (712) 623-7000
- NPI assigned
- Jan 11, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 00435 | IA | Primary |
Addresses
Primary practice location
2301 Eastern Ave
Red Oak, IA 51566-1300
Mailing address
2301 Eastern Ave
PO Box 498
Red Oak, IA 51566-1300
Phone (712) 623-7000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231632000000",
"number": "1457598559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 EASTERN AVE",
"address_2": "PO BOX 498",
"city": "RED OAK",
"state": "IA",
"postal_code": "515661300",
"telephone_number": "712-623-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 EASTERN AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515661300",
"telephone_number": "712-623-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-11",
"last_updated": "2009-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.