Active NPI
Todd Graybael Scott, DPT
- Physical Therapist
- Smyrna, GA
National Provider Identifier
1740838051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014303
- Practice address
- 4849 S Cobb Dr SE
Smyrna, GA 30080-7117 - Phone
- (770) 438-5220
- NPI assigned
- Aug 29, 2019
- 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 | PT014303 | GA | Primary |
Addresses
Primary practice location
4849 S Cobb Dr SE
Smyrna, GA 30080-7117
Mailing address
1222 Bickham Way SE
Smyrna, GA 30080-3951
Phone (504) 722-1257
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014303 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1740838051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 BICKHAM WAY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300803951",
"telephone_number": "504-722-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807117",
"telephone_number": "770-438-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TODD",
"middle_name": "GRAYBAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.