Individual provider Active NPI

Erica Colleen Scott, PT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1760445357
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25255 Issued in CA
Practice address
170 E 17TH St
Suite 211
Costa Mesa, CA 92627-3701
Phone
(714) 851-8011
Fax
(888) 979-8144
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25255 CA Primary

Addresses

Primary practice location

170 E 17TH St
Suite 211
Costa Mesa, CA 92627-3701

Mailing address

PO Box 7493
Newport Beach, CA 92658-7493
Phone (714) 851-8011

Other names 1

  • Erica Colleen Bulger Former name

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

LicenseStateTypeSpecialty
25255CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Spine Care Physical Therapy a Professional Corporation Physical Therapist Past Accepting new patients
Change Sports Physical Therapy Institute Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Orthopaedic and Spine Care Physical Therapy Physical Therapist Past Accepting new patients
Healing Integrations Physical Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1760445357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7493",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926587493",
            "telephone_number": "714-851-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E 17TH ST",
            "address_2": "SUITE 211",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273701",
            "telephone_number": "714-851-8011",
            "fax_number": "888-979-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ERICA",
        "middle_name": "COLLEEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BULGER",
            "middle_name": "COLLEEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.