Scott Robert Hargraves, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009773L Issued in PA

Practice address

205 Ridgewood Dr
Fredericktown, PA 15333-2020

Phone

(724) 377-1933

NPI assigned

Jan 14, 2019

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2019.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1699249508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEWOOD DR",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332020",
            "telephone_number": "724-377-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEWOOD DR",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332020",
            "telephone_number": "724-377-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Lafayette Manor Rd",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154018900",
            "country_code": "US",
            "telephone_number": "724-430-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009773L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Gaydos
• Janet Lynn Geramita, DENTAL HYGIENIST
• Nicole Goodwin, LPC
• Tiffany Goodwin
• Danielle M Guerrieri, CRNP
• Erin C. Hathaway, B.A.
• Peggy Lynn Heffner, LSW
• Charles Michael Irvin, DPM
• Patricia A Johnson
• Bryce James Kesling, FNP-C

• All providers in Fredericktown, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.