Individual provider Active NPI

Scott Thomas, PT

  • Physical Therapist
  • Supply, NC
National Provider Identifier
1811089915
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9237 Issued in NC
Practice address
20 Medical Campus Drive
Suite 204 Brunswick Medical Campus
Supply, NC 28422
Phone
(910) 755-5861
Fax
(910) 755-5865
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 9237 NC Primary

Addresses

Primary practice location

20 Medical Campus Drive
Suite 204 Brunswick Medical Campus
Supply, NC 28422

Mailing address

305 S Front St
Wilmington, NC 28401-4416
Phone (910) 385-7149

Other identifiers 1

IdentifierTypeStateIssuer
7211903MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606001179 NC Practitioner - Physical Therapist in Private Practice 2668415191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Rehabilitation IncGroup PAC ID 8628018843, 11 clinicians

Practice addresses (Care Compare)

20 Medical Campus Dr NW
Suite 204
Supply, NC 28462-4094
Phone (502) 609-4872

Merit-based Incentive Payment System (MIPS)

Final score
40.14 of 100Reported as individual
Quality
45
Improvement activities
0
Cost
73.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9237NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rehabilitation Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2004 Accepting new patients

Locations

20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002

312 E Southerland St
Wallace, NC 28466
Phone (910) 275-0121

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1811089915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S FRONT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014416",
            "telephone_number": "910-385-7149",
            "fax_number": "910-251-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DRIVE",
            "address_2": "SUITE 204 BRUNSWICK MEDICAL CAMPUS",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28422",
            "telephone_number": "910-755-5861",
            "fax_number": "910-755-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.