Active NPI
Scottland Cornelius Haskins, DPT
- Physical Therapist
- Bixby, OK
National Provider Identifier
1780499145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6579
- Practice address
- 7300 E 121St PL S
Bixby, OK 74008-5875 - Phone
- (877) 215-0209
- NPI assigned
- Feb 11, 2025
- 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 | 6579 | OK | Primary |
Addresses
Primary practice location
7300 E 121St PL S
Bixby, OK 74008-5875
Mailing address
12 Ryan PL
Kiefer, OK 74041-4558
Phone (405) 779-5530
Other names 1
- Dr. Scottland Cornelius Haskins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250220001761 | OK | Practitioner - Physical Therapist in Private Practice | 9739609702 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6579 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1780499145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RYAN PL",
"city": "KIEFER",
"state": "OK",
"postal_code": "740414558",
"telephone_number": "405-779-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 E 121ST PL S",
"city": "BIXBY",
"state": "OK",
"postal_code": "740085875",
"telephone_number": "877-215-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "SCOTTLAND",
"middle_name": "CORNELIUS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SCOTTLAND",
"last_name": "HASKINS",
"middle_name": "CORNELIUS",
"prefix": "DR.",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bixby, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.