Active NPI
Nerissa Marie Scott, PTA
- Physical Therapy Assistant
- Weiser, ID
National Provider Identifier
1609209782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-3275
- Practice address
- 331 E Park St
Weiser, ID 83672-2053 - Phone
- (208) 549-0206
- Fax
- (208) 549-0536
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA-3275 | ID | Primary |
Addresses
Primary practice location
331 E Park St
Weiser, ID 83672-2053
Mailing address
557 SW 2ND St
Ontario, OR 97914-3515
Phone (623) 340-2044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-3275 | ID | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1609209782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 SW 2ND ST",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979143515",
"telephone_number": "623-340-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 E PARK ST",
"city": "WEISER",
"state": "ID",
"postal_code": "836722053",
"telephone_number": "208-549-0206",
"fax_number": "208-549-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "NERISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ID",
"license": "PTA-3275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weiser, ID
- Ridleys Family Markets Inc (Ridleys Pharmacy #8444)
- Julie Ann Rodriguez
- Maria Anne Roscher
- Joan Diane Saario, LMFT
- Sacred Seasons Counseling PLLC
- Joni Evelyn Shriver, DO
- Special Gee Delivery Inc. (Special Delivery)
- Joshua Carl Stephenson
- Steven G Iwasa OD PLLC (Weiser Vision Clinic)
- Bradley Wescott Terry, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.