Active NPI
Samantha Jean Scott
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1619707833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61582441
- Practice address
- 9414 NE Fourth Plain Blvd
Vancouver, WA 98662-6109 - Phone
- (360) 892-5142
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | PT61582441 | WA | Primary |
Addresses
Primary practice location
9414 NE Fourth Plain Blvd
Vancouver, WA 98662-6109
Mailing address
505 SE 184TH Ave Unit 245
Vancouver, WA 98683-1938
Phone (734) 347-4057
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 |
|---|---|---|---|
| PT61582441 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1619707833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SE 184TH AVE UNIT 245",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831938",
"telephone_number": "734-347-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 NE FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626109",
"telephone_number": "360-892-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SAMANTHA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61582441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.