Individual provider Active NPI

Jonathan David Scruggs, ASSOCIATE'S DEGREE

  • Occupational Therapy Assistant
  • Bluefield, VA
National Provider Identifier
1609775238
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
C2643 Issued in WV
Practice address
235 Chestnut St
Bluefield, VA 24605-7017
Phone
(276) 433-0571
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X C2643 WV Primary

Addresses

Primary practice location

235 Chestnut St
Bluefield, VA 24605-7017

Mailing address

307 Federal St
Bluefield, WV 24701-3063
Phone (276) 433-0571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1609775238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 FEDERAL ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013063",
            "telephone_number": "276-433-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CHESTNUT ST",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246057017",
            "telephone_number": "276-433-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "ASSOCIATE'S DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.