Individual provider Active NPI

Scott E Harmon, PT

  • Physical Therapist
  • Wilson, WY
National Provider Identifier
1487737102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-878 Issued in WY
Practice address
4030 Lake Creek Dr N
Wilson, WY 83014-9689
Phone
(307) 734-5292
Fax
(307) 734-8834
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT-878 WY Primary

Addresses

Primary practice location

4030 Lake Creek Dr N
Wilson, WY 83014-9689

Mailing address

PO Box 1828
Jackson, WY 83001-1828
Phone (307) 374-5292

Other identifiers 1

IdentifierTypeStateIssuer
314147OtherBLUE CROSS OF WY

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

LicenseStateTypeSpecialty
878WYMDMilitary Health Care Provider
PT-878WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Pines Physical Therapy PC Physical Therapist PastSince Oct 4, 2021 Accepting new patients
Four Pines Physical Therapy Limited Partnership Physical Therapist PastSince Mar 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487737102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1828",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011828",
            "telephone_number": "307-374-5292",
            "fax_number": "307-734-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAKE CREEK DR N",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149689",
            "telephone_number": "307-734-5292",
            "fax_number": "307-734-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WY",
            "identifier": "314147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.