Active NPI
Scott George Robertson, PT
- Physical Therapist
- Sheffield Village, OH
National Provider Identifier
1659784361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014745
- Practice address
- 5334 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (440) 934-5454
- Fax
- (440) 934-8975
- NPI assigned
- Jun 10, 2014
- 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 | PT014745 | OH | Primary |
Addresses
Primary practice location
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-5454
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014745 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1659784361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-5454",
"fax_number": "440-934-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-5454",
"fax_number": "440-934-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "SCOTT",
"middle_name": "GEORGE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT014745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.