Individual provider Active NPI

James Patrick Scanlan, PT

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1639206261
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29868 Issued in FL
Practice address
295 1St St S Ste 2
Winter Haven, FL 33880-9805
Phone
(863) 291-8644
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29868 FL Primary

Addresses

Primary practice location

295 1St St S Ste 2
Winter Haven, FL 33880-9805

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3094
Phone (863) 293-1191

Other practice location 1

3000 Woodmont Ave
Winter Haven, FL 33884-3800
Phone (863) 293-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150227001005 FL Practitioner - Physical Therapist in Private Practice 4082930599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Bond Clinic, Inc.Group PAC ID 2264931294, 87 clinicians

Practice addresses (Care Compare)

3000 Woodmont Ave
Winter Haven, FL 33884-3800
Phone (863) 293-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29868FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Clinic PA CurrentSince Aug 23, 2024 Accepting new patients
Adventhealth Bond Clinic, Inc. CurrentSince Oct 23, 2025 Accepting new patients
Adventhealth Bond Clinic, Inc. CurrentSince Oct 23, 2025 Accepting new patients
Bond Clinic PA CurrentSince Aug 23, 2024 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

3000 Woodmont Ave
Winter Haven, FL 33884

Interoperability endpoints

  • Direct secure messaging: james.scanlan.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1639206261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803094",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 1ST ST S STE 2",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338809805",
            "telephone_number": "863-291-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Woodmont Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338843800",
            "country_code": "US",
            "telephone_number": "863-293-1191",
            "fax_number": "863-508-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.

Verify at the official NPI Registry.