Individual provider Active NPI

Jenifer Scott, P.T.

  • Physical Therapist
  • Mesquite, TX
National Provider Identifier
1487901955
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1142149 Issued in TX
Practice address
1515 N Town East Blvd Ste 500
Mesquite, TX 75150-4145
Phone
(214) 273-2903
Fax
(469) 306-0309
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 1142149 TX Primary

Addresses

Primary practice location

1515 N Town East Blvd Ste 500
Mesquite, TX 75150-4145

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1005 W Ralph Hall Pkwy
Suite 207
Rockwall, TX 75032-6658
Phone (972) 772-6841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204001805 TX Practitioner - Physical Therapist in Private Practice 5395067136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2055 N Gateway Blvd
Suite 180
Forney, TX 75126-4492
Phone (469) 954-8289

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142149TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Aug 12, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2055 N Gateway Blvd
Ste 180
Forney, TX 75126

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1515 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 273-2903

Organizations & group practices 4

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1487901955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N TOWN EAST BLVD STE 500",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504145",
            "telephone_number": "214-273-2903",
            "fax_number": "469-306-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Ralph Hall Pkwy",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326658",
            "country_code": "US",
            "telephone_number": "972-772-6841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1142149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.