Active NPI
Luke Anthony Scott, DPT
- Physical Therapist
- Fallbrook, CA
National Provider Identifier
1477808673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 39184
- Practice address
- 521 E Elder St
Ste. 106
Fallbrook, CA 92028-3081 - Phone
- (760) 723-8337
- Fax
- (760) 723-5476
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PT 39184 | CA | Primary |
Addresses
Primary practice location
521 E Elder St
Ste. 106
Fallbrook, CA 92028-3081
Mailing address
24630 Washington Ave
Ste. 200
Murrieta, CA 92562-6131
Phone (951) 696-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT391840 | Other | CA | BLUE SHIELD OF CALIFORNIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39184 | CA | MD | Pharmacist |
| PT 39184 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Health Partners Inc | Current | Accepting new patients |
Organizations & group practices 1
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": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1477808673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE. 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626131",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E ELDER ST",
"address_2": "STE. 106",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283081",
"telephone_number": "760-723-8337",
"fax_number": "760-723-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LUKE",
"middle_name": "ANTHONY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 39184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "0PT391840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.