Individual provider Active NPI

Kelly Scarberry

  • Physical Therapist
  • Perrysburg, OH
National Provider Identifier
1649514399
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009954 Issued in OH
Practice address
28546 Starbright Blvd
Perrysburg, OH 43551-4686
Phone
(419) 666-0935
Fax
(419) 666-5610
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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 009954 OH Primary

Addresses

Primary practice location

28546 Starbright Blvd
Perrysburg, OH 43551-4686

Mailing address

953 Reynolds Cir
Oregon, OH 43616-3485
Phone (419) 698-5839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003219 OH Practitioner - Physical Therapist in Private Practice 3274883665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Point Rehabilitation LLCGroup PAC ID 3577651223, 6 clinicians

Practice addresses (Care Compare)

2815 Dustin Rd
Suite B
Oregon, OH 43616-3497
Phone (419) 693-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009954OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Point Rehabilitation LLC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Healtherapy Partners Inc Physical Therapist PastSince Aug 10, 2018 Accepting new patients

Locations

2815 Dustin Rd
Ste B
Oregon, OH 43616
Phone (419) 693-0676

4747 Suder Ave
Ste 101
Toledo, OH 43611
Phone (419) 720-0100

Organizations & group practices 2

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1649514399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 REYNOLDS CIR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163485",
            "telephone_number": "419-698-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28546 STARBRIGHT BLVD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514686",
            "telephone_number": "419-666-0935",
            "fax_number": "419-666-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBERRY",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "009954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.