Robert James Scully, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4450 Issued in NH

Practice address

3505 Lake Lynda Dr Ste 207
Orlando, FL 32817-8327

Phone

(877) 896-3660

NPI assigned

Oct 1, 2008

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1841441557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178327",
            "telephone_number": "877-896-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178327",
            "telephone_number": "877-896-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1843",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25468",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Scroggs
• Chevala C Scruggs, COTA/L
• Taylor Marie Scruggs, RN
• Roy E Scudamore, CERT. PROSTHETIST
• Allyson Ayn Scully
• SD Carter Enterprises of Florida
• SDH Medical Services 1 Inc
• Sea Spine Orthopedics Institute LLC (C-Spine Ortho)
• Jason Cheng-En Sea, MD, FRCSC
• Mona Seabon

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.