Jerome E Scanlon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

22007 Marine View Dr S
Suite 203
Des Moines, WA 98198-6259

Phone

(206) 592-0568

Fax

(206) 592-0583

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760546139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22007 MARINE VIEW DR S",
            "address_2": "SUITE 203",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986259",
            "telephone_number": "206-592-0568",
            "fax_number": "206-592-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22007 MARINE VIEW DR S",
            "address_2": "SUITE 203",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986259",
            "telephone_number": "206-592-0568",
            "fax_number": "206-592-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "JEROME",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Shireen Sandstrom, N.D., L.M.P.
• Robert T Sargent Jr., MD
• Ellen Marie Sarono
• Ramya Sathish
• Alf Zachary Satterfield
• Taya Schanbeck
• Luzviminda Schiffer, MA
• Kendall Schmitt
• Joseph Ardwin Schneider, DDS
• Sea Mar Community Health Centers

• Physical Therapist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.