Scott Boerger, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2036267 Issued in TX

Practice address

4801 Troup Hwy
Suite 800
Tyler, TX 75703

Phone

(903) 939-2800

NPI assigned

Mar 26, 2008

Last updated

Mar 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1699947028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19183 FAWN CRK",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757629331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 TROUP HWY",
            "address_2": "SUITE 800",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-939-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERGER",
        "first_name": "SCOTT",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2036267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Bockover, ATP, CRTS
• Shanda Boddie
• Olivia Bodiford, LPC - A
• Carie Elise Bodnar, ACNPC-AG
• Matthew Boehme, D.O.
• Cynthia Bogard
• Nicholas Bohannon, MD
• Stephani Bohannon
• Jeffrey L Bohn, M.D.
• Pamela G. Bokat, MD, MSW

• Physical Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.