Active NPI
Antonius Johannes Van Scherpenseel, PT, MTC, OCS
- Physical Therapist
- Griffin, GA
National Provider Identifier
1588694087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002212
- Practice address
- 1438 Highway 16 W Ste C
Griffin, GA 30223-2096 - Phone
- (770) 233-0350
- Fax
- (770) 233-0370
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 20, 2020
- 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 | PT002212 | GA | Primary |
Addresses
Primary practice location
1438 Highway 16 W Ste C
Griffin, GA 30223-2096
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other practice location 1
7010 Hodgson Memorial Dr
Savannah, GA 31406-2529
Phone (912) 401-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539457825A | Medicaid | GA |
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 |
|---|---|---|---|
| PT002212 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Neurology Specialists P C | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Savannah, GA
- NPI 1629203294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1588694087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212564",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 HIGHWAY 16 W STE C",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232096",
"telephone_number": "770-233-0350",
"fax_number": "770-233-0370"
}
],
"practiceLocations": [
{
"address_1": "7010 Hodgson Memorial Dr",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314062529",
"country_code": "US",
"telephone_number": "912-401-0443",
"fax_number": "912-401-0445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN SCHERPENSEEL",
"first_name": "ANTONIUS",
"middle_name": "JOHANNES",
"credential": "PT, MTC, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539457825A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.