Edwin Scott, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60791638 Issued in WA

Practice address

5709 Hamlin Ave
Ferndale, WA 98248-9210

Phone

(360) 384-5171

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sandalwood Therapy

  • Physical Therapist
  • Ferndale, WA
  • NPI 1225857758
  NPD Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1821562695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 HAMLIN AVE",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489210",
            "telephone_number": "360-384-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 HAMLIN AVE",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489210",
            "telephone_number": "360-384-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EDWIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60791638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Sautto, LMP
• Natosha Scheenstra, MSW, LICSW, CMHS
• Jack Schickler, DPT, PT
• Nils Gibson Schoultz, PHYSICIAN ASSISTANT
• Marian R Schultz, MSW
• Katherine Amanda Scott
• Schuyler Shelloner
• Sukhmani Singh, DDS
• Susan J Slaughter-Jones, MD
• Deborah A Smith, PMHNP-BC

• Physical Therapist in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.

Verify at the official NPI Registry.