Individual provider Active NPI

Scott Dickie, PT, LMT, COMT

  • Physical Therapist
  • Denham Springs, LA
National Provider Identifier
1700815057
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01852 Issued in LA
Practice address
145 Aspen Square
Suite a
Denham Springs, LA 70726
Phone
(225) 667-8989
Fax
(225) 667-9554
NPI assigned
Jun 30, 2006
Last updated
May 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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 01852 LA Primary

Addresses

Primary practice location

145 Aspen Square
Suite a
Denham Springs, LA 70726

Mailing address

11320 Industriplex Boulevard
Baton Rouge, LA 70809
Phone (225) 295-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000546 LA Practitioner - Physical Therapist in Private Practice 0547469462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Physical Therapy Limited PartnershipGroup PAC ID 0446651178, 19 clinicians

Practice addresses (Care Compare)

36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081
Phone (225) 744-7325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Limited Partnership CurrentSince Jul 1, 2021 Accepting new patients
Peak Performance Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

11320 Industriplex Blvd
Baton Rouge, LA 70809
Phone (225) 295-8183

6756 Langley Dr
Baton Rouge, LA 70809
Phone (225) 663-8232

6756 Langley Dr
#A
Baton Rouge, LA 70809

7069 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 769-6161

750 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 831-1300

7936 Office Park Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 201-0002

145 Aspen Sq
#A
Denham Springs, LA 70726
Phone (225) 667-8989

36491 Dutchtown Gardens Ave
Geismar, LA 70734
Phone (225) 744-7325

12505 Homeport Dr
Maurepas, LA 70449
Phone (225) 663-1420

4463 Hwy 1 S
Ste D
Port Allen, LA 70767
Phone (225) 749-8980

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1700815057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BOULEVARD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-295-8183",
            "fax_number": "225-752-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ASPEN SQUARE",
            "address_2": "SUITE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-667-8989",
            "fax_number": "225-667-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKIE",
        "first_name": "SCOTT",
        "credential": "PT, LMT, COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.