Tamrica Scrudato, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017468 Issued in NY

Practice address

4713 Onondaga Blvd.
Syracuse, NY 13219

Phone

(315) 469-5400

NPI assigned

Sep 20, 2006

Sex

Female

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720185143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WINDSOR DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 ONONDAGA BLVD.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13219",
            "telephone_number": "315-469-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUDATO",
        "first_name": "TAMRICA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Mary Scott, OTR/L
• Paige Scott, CAT
• Kayla Jean Scouten, OTR/L
• Mary Scozzari, PA
• Katherine Elizabeth Scranton, RN
• Samantha Lynn Scuderi
• Kathryn Scully, LMSW
• Emilia Michelle Scutari, DDS
• Francesca Marie Scutari, FNP-C, CPNP-BC, RNFA
• Julie Ann Scutt

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.