Active NPI
Scott Cameron, PT
- Physical Therapist
- Clinton, CT
National Provider Identifier
1609951326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6389
- Practice address
- 114 E Main St
Clinton, CT 06413-2112 - Phone
- (860) 664-9442
- Fax
- (860) 664-9227
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 23, 2016
- 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 | 6389 | CT | Primary |
Addresses
Primary practice location
114 E Main St
Clinton, CT 06413-2112
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Phone (860) 274-4092
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080006389CT09 | Other | CT | ANTHEM BC BS |
| 080006389CT10 | Other | CT | ANTHEM BC BS |
| 080006389CT08 | Other | CT | ANTHEM BC BS |
| 080006389CT11 | Other | CT | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Pequot Park Rd
Suite 102
Westbrook, CT 06498-2856
Phone (860) 399-6411
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.54 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006389 | CT | MD | Mental Health Counselor |
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.
-
dba Physical Therapy & Sports Medicine Centers
- Physical Therapist
- West Hartford, CT
- NPI 1659453371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1609951326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-274-4092",
"fax_number": "860-274-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E MAIN ST",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132112",
"telephone_number": "860-664-9442",
"fax_number": "860-664-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "6389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080006389CT09",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080006389CT10",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080006389CT08",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080006389CT11",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, CT
- Andrew Mark Berliner, DPM
- Deborah Anne Blair, RN
- Blueprint Wellness International LLC
- Brian K. Sawchuk, D.D.S. and David J. Sliva, D.M.D., L.L. C.
- Jeffrey Evan Burzin, DDS
- Desiree Caporaso, LCSW
- Stephanie Rilyn Carey, DCM
- Kenneth Spencer Carlough, DMD
- Carolyn B Carroll, MD
- Child & Adult Orthodontics PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.