Payton Michael Scott, PT, DPT, LAT, AC
Individual provider Active NPI Physical Therapist · Gas City, IN
NPI 1740709559 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1740709559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05015449A (IN)
- Practice address
- 4900 Beaner Blvd
Gas City, IN 46933-9788 - Phone
- (765) 573-0725
- NPI assigned
- Sep 12, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015449A | IN | MD | Physical Therapist |
| 06005059A | IN | MD | Physical Therapy Assistant |
| 36002941A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06005059A | IN | |
| Athletic Trainer | 2255A2300X | 36002941A | IN | |
| Physical Therapist | 225100000X | 05015449A | IN | Yes |
Addresses
Primary practice location
4900 Beaner Blvd
Gas City, IN 46933-9788
Mailing address
2865 E Eastridge Dr
Marion, IN 46953-5615
Other providers in Gas City, IN
- Kellie Planck
- Teryn Jane Renbarger
- Mitchell Ridgway
- Shyanna Robison
- Madisen Paige Rodarte
- Dawn Pearl Smith
- Karlee Stambaugh
- Hannah N Stanley
- Brandy Stark
- Rose Turner
All providers in Gas City, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.