Active NPI
Shawn Miguel Scott, DPT
- Physical Therapist
- Redlands, CA
National Provider Identifier
1477705424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34990
- Practice address
- 1521 North Grove St.
Redlands, CA 92374-2708 - Phone
- (909) 649-1405
- NPI assigned
- Oct 21, 2008
- 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 Therapist | 225100000X | 34990 | CA | Primary |
Addresses
Primary practice location
1521 North Grove St.
Redlands, CA 92374-2708
Mailing address
1521 N Grove St
Redlands, CA 92374-2708
Phone (909) 649-1405
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1477705424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N GROVE ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742708",
"telephone_number": "909-649-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 NORTH GROVE ST.",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742708",
"telephone_number": "909-649-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHAWN",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.