Active NPI
Kyle R. Scott, CO
- Orthotist
- Corvallis, OR
National Provider Identifier
1700017100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 1128 NE 2ND St
Suite 204
Corvallis, OR 97330-6230 - Phone
- (541) 752-9034
- Fax
- (541) 752-0216
- NPI assigned
- Aug 3, 2009
- Last updated
- Feb 8, 2012
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | NU | Primary |
Addresses
Primary practice location
1128 NE 2ND St
Suite 204
Corvallis, OR 97330-6230
Mailing address
2292 NW Kings Blvd.
Corvallis, OR 97330
Phone (541) 752-9034
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1700017100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 NW KINGS BLVD.",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97330",
"telephone_number": "541-752-9034",
"fax_number": "541-752-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 NE 2ND ST",
"address_2": "SUITE 204",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306230",
"telephone_number": "541-752-9034",
"fax_number": "541-752-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KYLE",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-03",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.