Active NPI
Scott E. Boden, PT
- Physical Therapist
- Butler, PA
National Provider Identifier
1861497927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012669L
- Practice address
- 1615B N Main Street Ext
Butler, PA 16001-1512 - Phone
- (724) 285-5546
- Fax
- (724) 285-3883
- NPI assigned
- Jun 16, 2005
- 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 | PT012669L | PA | Primary |
Addresses
Primary practice location
1615B N Main Street Ext
Butler, PA 16001-1512
Mailing address
1615B N Main Street Ext
Butler, PA 16001-1512
Phone (724) 285-5546
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
Interoperability endpoints
- scott.e.boden@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1861497927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615B N MAIN STREET EXT",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011512",
"telephone_number": "724-285-5546",
"fax_number": "724-285-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615B N MAIN STREET EXT",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011512",
"telephone_number": "724-285-5546",
"fax_number": "724-285-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODEN",
"first_name": "SCOTT",
"middle_name": "E.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012669L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.