Holly Scoville, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006418 Issued in CT

Practice address

15 Massirio Dr
Berlin, CT 06037-2300

Phone

(860) 829-1300

Fax

(860) 829-1388

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central CT Sports Medicine Center

  dba Central CT Physical Medicine

  • Physical Therapist
  • Berlin, CT
  • NPI 1104982826
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1497926927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JOLLEY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023092",
            "telephone_number": "860-286-8882",
            "fax_number": "860-286-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MASSIRIO DR",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372300",
            "telephone_number": "860-829-1300",
            "fax_number": "860-829-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "HOLLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sanchez
• Orsola Savi
• Breanne Schnepf-Hanbury
• David Gustav Scholz, LPC
• Andrea Arnell Scott
• Jennifer E Siegal, LMFT
• Simply Complex Counseling & Consultation LLC
• Katharine Smulski, LCSW
• Somewhere Over the Spectrum
• Somewhere Over the Spectrum

• Physical Therapist in Berlin, CT
• Providers in Berlin, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.