Individual provider Active NPI

Scott Allen Vines

  • Physical Therapist
  • Webster, TX
National Provider Identifier
1831731405
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1324156 Issued in TX
Practice address
17326 Highway 3
Webster, TX 77598-4133
Phone
(281) 332-3000
Fax
(281) 332-9171
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 1324156 TX Primary

Addresses

Primary practice location

17326 Highway 3
Webster, TX 77598-4133

Mailing address

17326 Highway 3
Webster, TX 77598-4133
Phone (281) 332-3000

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

LicenseStateTypeSpecialty
1324156TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Physical Therapy and Sports Rehabilitation, LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients

Locations

306 W Edgewood Dr
Ste E
Friendswood, TX 77546
Phone (281) 998-0901

11450 Space Center Blvd
Ste 201
Houston, TX 77059
Phone (281) 988-0901

2047 W Main St
Ste A10
League City, TX 77573
Phone (281) 207-7575

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1831731405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17326 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17326 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1324156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

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