Individual provider Active NPI

Julian Scott III

  • Physical Therapist
  • Pinehurst, NC
National Provider Identifier
1679931919
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14023 Issued in NC
Practice address
300 Blake Blvd
Pinehurst, NC 28374-8474
Phone
(910) 295-6158
Fax
(910) 295-1438
NPI assigned
Feb 1, 2016
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 P14023 NC Primary

Addresses

Primary practice location

300 Blake Blvd
Pinehurst, NC 28374-8474

Mailing address

PO Box 5309
Pinehurst, NC 28374-5309
Phone (910) 295-6158

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

LicenseStateTypeSpecialty
P14023NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Nursing Center, Inc. Past Accepting new patients
Pinehurst Nursing Center, Inc. Past Accepting new patients
RDL Therapeutic Adult Day Center PastSince May 10, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1679931919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5309",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283745309",
            "telephone_number": "910-295-6158",
            "fax_number": "910-295-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLAKE BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748474",
            "telephone_number": "910-295-6158",
            "fax_number": "910-295-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JULIAN",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.