Active NPI
Caleb Scholl
- Physical Therapist
- Port Saint Lucie, FL
National Provider Identifier
1851833552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32142
- Practice address
- 1400 SE Goldtree Dr
Suite 101
Port Saint Lucie, FL 34952-7582 - Phone
- (772) 335-7966
- NPI assigned
- Nov 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32142 | FL | Primary |
Addresses
Primary practice location
1400 SE Goldtree Dr
Suite 101
Port Saint Lucie, FL 34952-7582
Mailing address
1400 SE Goldtree Dr
Suite 101
Port Saint Lucie, FL 34952-7582
Phone (772) 335-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 SE Goldtree Dr
Suite 205
Port St Lucie, FL 34952-7583
Phone (772) 335-7966
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32142 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy & Sports Medicine | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Past | Accepting new patients |
Locations
897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080
1400 SE Goldtree Dr
Ste 205
Port St Lucie, FL 34952
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1649380064
-
- Physical Therapist
- Jensen Beach, FL
- NPI 1265724330
-
- Physical Therapist
- Fort Pierce, FL
- NPI 1265542682
-
- Physical Therapist
- St Petersburg, FL
- NPI 1760401434
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1417067844
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1538209762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1851833552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DR",
"address_2": "SUITE 101",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527582",
"telephone_number": "772-335-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DR",
"address_2": "SUITE 101",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527582",
"telephone_number": "772-335-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLL",
"first_name": "CALEB",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-11",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.