Individual provider Active NPI

Scott L. Homer, OTR/L

  • Occupational Therapist
  • Earlton, NY
National Provider Identifier
1730478751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016610-1 Issued in NY
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.

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 PLLC 77 clinicians
Nova Rehab PT OT PLLC 17 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
016610-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Jun 30, 2024 Accepting new patients
Nova Rehab PT OT PLLC Occupational Therapist CurrentSince Oct 27, 2025 Accepting new patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Jan 10, 2025 Accepting new patients
Hudson Care Physical Therapy PLLC PastSince Oct 29, 2017 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)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016610-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.