Active NPI
Scott L. Homer, OTR/L
- Occupational Therapist
- Earlton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016610-1
- Practice address
- 823 Medway Earlton Rd
Earlton, NY 12058-4101 - Phone
- (518) 346-2397
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Ghent, NY
- NPI 1881920874
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esd PT OT and SLP PLLCNova Rehab PT OT PLLC
Practice addresses (Care Compare)
2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808
4 W Main St
Cambridge, NY 12816-1131
Phone (347) 631-6150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110610000079 | NY | Practitioner - Occupational Therapist in Private Practice | 4486831997 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016610-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Rehabilitation LLP | Current | Accepting new patients | |
| Nova Rehab PT OT PLLC | Occupational Therapist | Current | Accepting new patients |
| Esd PT OT & SLP PLLC | Occupational Therapist | Current | Accepting new patients |
| Hudson Care Physical Therapy PLLC | Past | Accepting new patients | |
| Thomas Nicolla Consulting Services, PLLC | Past | Accepting new patients |
Locations
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
4 W Main St
Cambridge, NY 12816
Phone (347) 631-6150
1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016610-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
823 Medway Earlton Rd
Earlton, NY 12058-4101
Mailing address
823 Medway Earlton Rd
Earlton, NY 12058-4101
Phone (518) 346-2397
Other practice location 1
2 Sherman Potts Dr Unit 202
Ghent, NY 12075-3216
Phone (518) 965-6099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730478751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 MEDWAY EARLTON RD",
"city": "EARLTON",
"state": "NY",
"postal_code": "120584101",
"telephone_number": "518-346-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 MEDWAY EARLTON RD",
"city": "EARLTON",
"state": "NY",
"postal_code": "120584101",
"telephone_number": "518-346-2397"
}
],
"practiceLocations": [
{
"address_1": "2 Sherman Potts Dr Unit 202",
"address_purpose": "LOCATION",
"city": "Ghent",
"state": "NY",
"postal_code": "120753216",
"country_code": "US",
"telephone_number": "518-965-6099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMER",
"first_name": "SCOTT",
"middle_name": "L.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016610-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Earlton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.