Individual provider Active NPI

Katherine Cancino Scholl, MSPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1588822126
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23914 Issued in FL
Practice address
2150 S Dixie Hwy
Miami, FL 33133-2462
Phone
(305) 860-6383
Fax
(305) 860-6526
NPI assigned
May 30, 2008
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 23914 FL Primary

Addresses

Primary practice location

2150 S Dixie Hwy
Miami, FL 33133-2462

Mailing address

1400 SE Goldtree Dr Ste 205
Port Saint Lucie, FL 34952-7583
Phone (772) 335-7966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811001049 FL Practitioner - Physical Therapist in Private Practice 1456485507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10560 SW Village Pkwy
Port St Lucie, FL 34987-2359
Phone (772) 335-7966

1400 SE Goldtree Dr
Suite 205
Port St Lucie, FL 34952-7583
Phone (772) 335-7966

2026 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 888-3360

3660 SW 30TH Ave
Palm City, FL 34990-3700
Phone (772) 335-7966

4007 SW Port St Lucie Blvd
Unit 6
Port St Lucie, FL 34953-5679
Phone (772) 281-4722

5054 SE Federal Hwy
Stuart, FL 34997-6627
Phone (772) 419-7325

519 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1621
Phone (772) 621-9313

800 Virginia Ave
Suite 48
Fort Pierce, FL 34982-5893
Phone (772) 464-6424

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4799
Phone (772) 324-3080

Merit-based Incentive Payment System (MIPS)

Final score
76.61 of 100Reported as individual
Quality
72.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23914FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince May 1, 2010 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist CurrentSince May 1, 2010 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

1400 SE Goldtree Dr
Ste 205
Port St Lucie, FL 34952

1345 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 567-8040

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1588822126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 205",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527583",
            "telephone_number": "772-335-7966",
            "fax_number": "772-335-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332462",
            "telephone_number": "305-860-6383",
            "fax_number": "305-860-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "KATHERINE",
        "middle_name": "CANCINO",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.