Individual provider Active NPI

Scott Michael Brewer, MS, ATC/L, PTA

  • Physical Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1528214038
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA07004 Issued in OH
Practice address
10400 Reading Rd
Ste. 105
Cincinnati, OH 45241-4816
Phone
(513) 733-3370
Fax
(513) 786-7893
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA07004 OH Primary
Athletic Trainer 2255A2300X AT002152 OH

Addresses

Primary practice location

10400 Reading Rd
Ste. 105
Cincinnati, OH 45241-4816

Mailing address

10400 Reading Rd
Ste. 105
Cincinnati, OH 45241-4816
Phone (513) 733-3370

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTA07004OHMDPhysical Therapy Assistant
AT002152OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Institute of Cincinnati, LLC Past Accepting new patients
Orthopaedic Physical Therapy and Associates Inc. PastSince Jan 1, 2002 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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1528214038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 READING RD",
            "address_2": "STE. 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414816",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 READING RD",
            "address_2": "STE. 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414816",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS, ATC/L, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA07004",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.