Active NPI
Stephen M Scott, PT, DPT, LLT, JD
- Physical Therapist
- Williamsburg, VA
National Provider Identifier
1730145830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006816
- Practice address
- 5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218 - Phone
- (757) 707-3955
- Fax
- (757) 603-6231
- NPI assigned
- Apr 26, 2006
- 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 | 2305006816 | VA | Primary |
Addresses
Primary practice location
5388 Discovery Park Blvd Ste 100
Williamsburg, VA 23188-8218
Mailing address
1892 Graves Mill Rd
Suite C
Lynchburg, VA 24502
Phone (434) 385-1680
Other practice location 1
201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone (757) 707-3955
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
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006816 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Chiropractic, LLC | Current | Accepting new patients | |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Associates of Central Virginia, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955
Organizations & group practices 3
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.
-
- Chiropractor
- Williamsburg, VA
- NPI 1265728307
-
- Physical Therapist
- Lynchburg, VA
- NPI 1144770835
-
- Physical Therapist
- Lynchburg, VA
- NPI 1699727016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1730145830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1892 GRAVES MILL RD",
"address_2": "SUITE C",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-385-1680",
"fax_number": "434-385-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5388 DISCOVERY PARK BLVD STE 100",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231888218",
"telephone_number": "757-707-3955",
"fax_number": "757-603-6231"
}
],
"practiceLocations": [
{
"address_1": "201 Bulifants Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231885731",
"country_code": "US",
"telephone_number": "757-707-3955",
"fax_number": "757-603-6231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT, DPT, LLT, JD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.