Scott C Theuret, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01006600 Issued in NJ

Practice address

57 Sparta Ave
Sparta, NJ 07871-1822

Phone

(973) 726-0111

Fax

(973) 726-0399

NPI assigned

Jun 21, 2006

Last updated

May 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Sparta Orthopedic & Sports Physical Therapy LLC

  • Physical Therapist
  • Sparta, NJ
  • NPI 1710079454
  Medicare reassignment Authorized official
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1730125576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711822",
            "telephone_number": "973-726-0111",
            "fax_number": "973-726-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711822",
            "telephone_number": "973-726-0111",
            "fax_number": "973-726-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURET",
        "first_name": "SCOTT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01006600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3370512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria E Taylor, MSW, LCSW
• The Carpenter's Workshop
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy 823)
• Mary Katheryn Theesfeld, LCSW
• Raquel Christina Thormann, LPC
• Three Treasures Acupuncture of New Jersey, LLC
• Nicholas W Tinker, FNP-BC
• Edward Michael Tirpack II, D.M.D.
• Diana Torsiello

• Physical Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.