Individual provider Active NPI

Scott Cross

  • Physical Therapist
  • Storrs Mansfield, CT
National Provider Identifier
1700994688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
13 Dog LN # B
Storrs Mansfield, CT 06268-2206
Phone
(860) 429-0899
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NU Primary

Addresses

Primary practice location

13 Dog LN # B
Storrs Mansfield, CT 06268-2206

Mailing address

465 Buckland Hills Dr
Apt 28331
Manchester, CT 06042-9100
Phone (860) 648-2731

Other identifiers 1

IdentifierTypeStateIssuer
007196OtherCTLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210211000907 CT Practitioner - Physical Therapist in Private Practice 5890935563 Reassigns benefits to 1 organization
I20230519000106 MA Practitioner - Physical Therapist in Private Practice 5890935563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

319 A Southbridge St
Suite 150
Auburn, MA 01501-2568
Phone (508) 832-2628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Ptsma, Inc. CurrentSince Feb 2, 2024 Accepting new patients
DG Physical Therapy PC CurrentSince Feb 8, 2023 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Feb 8, 2023 Accepting new patients
Select Physical Therapy of Connecticut Limited Partnership Physical Therapist Past Accepting new patients

Locations

215 E Main St
Clinton, CT 06413
Phone (860) 669-6636

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

1933 E Main St
Torrington, CT 06790
Phone (959) 901-0640

319A Southbridge St
Ste 150
Auburn, MA 01501
Phone (508) 832-2628

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

Organizations & group practices 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700994688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BUCKLAND HILLS DR",
            "address_2": "APT 28331",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060429100",
            "telephone_number": "860-648-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DOG LN # B",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682206",
            "telephone_number": "860-429-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "007196",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.