Kaylee Marie Scott-Van Deusen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299802 Issued in CA

Practice address

4500 Gilbert St
Oakland, CA 94611-4657

Phone

(412) 999-5695

NPI assigned

Apr 30, 2021

Sex

Female

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1821671694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 BEST AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946015507",
            "telephone_number": "412-999-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 GILBERT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114657",
            "telephone_number": "412-999-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-VAN DEUSEN",
        "first_name": "KAYLEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Scollard, D.D.S.
• Scott M Taylor MD Professional Corporation
• Scott Yoo DDS Dental Corp
• Tracy Scott-Jefferson
• Al'Andrea Scott-Robertson
• Sanaa Scott-Wheeler
• Andrea Scott, MFT
• Astrid D Scott
• Catherine B. Scott, CNM
• Cecilia Scott

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.