Jared Gregory Scoville, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12794 Issued in CT

Practice address

1111 Cromwell Ave Ste 304
Rocky Hill, CT 06067-3455

Phone

(860) 256-8443

NPI assigned

Aug 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spargo Physical Therapy LLCGroup PAC ID 6507108073, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spargo Physical Therapy LLC

  • Physical Therapist
  • Bristol, CT
  • NPI 1366909541

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1467063347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE N",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 304",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673455",
            "telephone_number": "860-256-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "JARED",
        "middle_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lindwall Schwab, MD
• Robert D Schwer, DC
• Nicole Scoffone, LPC
• Scooter Store - Hartford LLC
• Nancy J Scotto
• Leigh-Ann Scrivano, MA,LPC
• Securecare Options, LLC
• Seeking Harmony LLC
• Artim Selmani
• Mary Jean Serignese

• Physical Therapist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.