Active NPI
Scott J Pugliese, PT
- Physical Therapist
- Webster, NY
National Provider Identifier
1730245697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007744-1
- Practice address
- 2000 Empire Blvd
BLDG. #2
Webster, NY 14580-1957 - Phone
- (585) 671-1030
- Fax
- (585) 671-1991
- NPI assigned
- Dec 28, 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 | 007744-1 | NY | Primary |
Addresses
Primary practice location
2000 Empire Blvd
BLDG. #2
Webster, NY 14580-1957
Mailing address
2000 Empire Blvd
BLDG. #2
Webster, NY 14580-1957
Phone (585) 671-1030
Other practice location 1
1130 Crosspointe Ln Ste 6
Webster, NY 14580-2986
Phone (585) 347-4990
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 |
|---|---|---|---|
| 007744-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1730245697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EMPIRE BLVD",
"address_2": "BLDG. #2",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801957",
"telephone_number": "585-671-1030",
"fax_number": "585-671-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EMPIRE BLVD",
"address_2": "BLDG. #2",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801957",
"telephone_number": "585-671-1030",
"fax_number": "585-671-1991"
}
],
"practiceLocations": [
{
"address_1": "1130 Crosspointe Ln Ste 6",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "NY",
"postal_code": "145802986",
"country_code": "US",
"telephone_number": "585-347-4990",
"fax_number": "585-347-4993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGLIESE",
"first_name": "SCOTT",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "007744-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.