Individual provider Active NPI

Scott Allan Whittaker, H.B.SC KIN, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1710251558
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1214601 Issued in TX
Practice address
8323 Southwest Fwy
Suite # 590
Houston, TX 77074-1615
Phone
(281) 763-8358
NPI assigned
Feb 24, 2012
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037372 NY
Physical Therapist 225100000X 1214601 TX Primary

Addresses

Primary practice location

8323 Southwest Fwy
Suite # 590
Houston, TX 77074-1615

Mailing address

1155 Main St Apt 437
Buffalo, NY 14209-2382
Phone (832) 951-3520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000008 NY Practitioner - Physical Therapist in Private Practice 1850557893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Services PT and OTGroup PAC ID 9234503152, 9 clinicians

Practice addresses (Care Compare)

163 Heritage Cir
Oneonta, NY 13820-2690
Phone (607) 643-8731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1214601TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services PT and OT Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Therapy Services PT and OT Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Therapy Services PT and OT Physical Therapist Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

Organizations & group practices 4

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1710251558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST APT 437",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092382",
            "telephone_number": "832-951-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 SOUTHWEST FWY",
            "address_2": "SUITE # 590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741615",
            "telephone_number": "281-763-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "SCOTT",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "H.B.SC KIN, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1214601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.