Active NPI
Scott Shores, PT, DPT
- Physical Therapist
- Mount Pleasant, SC
National Provider Identifier
1720634736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9840
- Practice address
- 180 Wingo Way Ste 303
Mount Pleasant, SC 29464-1812 - Phone
- (843) 972-0940
- NPI assigned
- Aug 15, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9840 | SC | Primary |
Addresses
Primary practice location
180 Wingo Way Ste 303
Mount Pleasant, SC 29464-1812
Mailing address
515 Robert Daniel Dr Apt 7313
Daniel Island, SC 29492-7362
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9840 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1720634736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ROBERT DANIEL DR APT 7313",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WINGO WAY STE 303",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641812",
"telephone_number": "843-972-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORES",
"first_name": "SCOTT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.