Active NPI
Scott Thomas Rea, OTR
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1760570444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1054234
- Practice address
- 2360 Montebello Square Dr Ste C
Colorado Springs, CO 80918-6901 - Phone
- (719) 599-5330
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1054234 | CO | Primary |
Addresses
Primary practice location
2360 Montebello Square Dr Ste C
Colorado Springs, CO 80918-6901
Mailing address
2360 Montebello Square Dr Ste C
Colorado Springs, CO 80918-6901
Phone (719) 599-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45673250 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1054234 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rea Rehabilitation Services Inc | Past | Accepting new patients | |
| Edge Rehabilitation & Wellness LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Edge Rehabilitation & Wellness
- Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1386719052
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1770852006
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760570444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MONTEBELLO SQUARE DR STE C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186901",
"telephone_number": "719-599-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MONTEBELLO SQUARE DR STE C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186901",
"telephone_number": "719-599-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1054234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45673250",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Aaron P Razak, DPT
- Alyssa Razo
- RB Anesthesia LLC
- Travis Michael Re, PT, DPT
- Rea Rehabilitation Services Inc (Edge Rehabilitation & Wellness)
- Reach Air Medical Services LLC
- Reaching Hands As Each One Teachings One (R.H.E.O.T.O)
- Ashley Pyne Read, NP-C
- Martin Read, M.D.
- Real Connections Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.