Scott Winters Wallentine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1999135665 Issued in MO

Practice address

606 E Cherry St
Room 100
Springfield, MO 65806-3401

Phone

(417) 836-3070

Fax

(417) 836-3032

NPI assigned

Oct 11, 2006

Sex

Male

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 and National Provider Directory roles.

• Magers Family Health and Wellness Center

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1073600334
  NPD (past)
• Missouri State University PT Clinic

  • Physical Therapy Clinic/Center
  • Springfield, MO
  • NPI 1003904079

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598853582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658970027",
            "telephone_number": "417-836-3070",
            "fax_number": "417-836-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E CHERRY ST",
            "address_2": "ROOM 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658063401",
            "telephone_number": "417-836-3070",
            "fax_number": "417-836-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENTINE",
        "first_name": "SCOTT",
        "middle_name": "WINTERS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "1999135665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Dawn Wallace, PA-C
• Nicole Lee Wallace, PTA
• Samantha Wallace, DO
• Sherrie K Wallace, MSW, LCSW
• Wayne Wallender, D.O.
• Taylor Waller
• Nina A Walles-Baldwin, MSW, LCSW
• Rachel Frances Wallis, NP
• Alana Walls, MA, LPC
• James Quentin Walsh, LCSW

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.