Nyisha Scott, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008201 Issued in MI

Practice address

21600 Novi Rd Ste 400
Novi, MI 48375-5605

Phone

(248) 679-5396

Fax

(248) 679-5397

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Novi DPT LLC

  dba Novi Doctors of Physical Therapy

  • Physical Therapist
  • Novi, MI
  • NPI 1972719474
  NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1639807654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 400",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 400",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NYISHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officestaff@dptathletics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Unknown",
            "address_1": "21600 Novi Rd Ste 400",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483755605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aleta Laci Scott
• Alisa Scott
• Amanda Scott
• Aquayla Scott
• Marcy Scott
• Sentara Scott
• Stafaine Bradley Scott
• Timothy Philip Scott, PA-C
• Stephanie Scotton
• Craig Scougale

• Physical Therapy Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.