Active NPI
Tekela R Scott, MPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1861540288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012853
- Practice address
- 1102 E 46TH St
Chicago, IL 60653-4435 - Phone
- (708) 359-9899
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012853 | IL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 070012853 | IL | |
| Sports Physical Therapist | 2251S0007X | 070012853 | IL | |
| Ergonomics Physical Therapist | 2251E1200X | 070012853 | IL | |
| Neurology Physical Therapist | 2251N0400X | 070012853 | IL |
Addresses
Primary practice location
1102 E 46TH St
Chicago, IL 60653-4435
Mailing address
1102 E 46TH St
Chicago, IL 60653-4435
Phone (708) 359-9899
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012853 | IL | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1861540288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 E 46TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606534435",
"telephone_number": "708-359-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E 46TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606534435",
"telephone_number": "708-359-9899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TEKELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012853",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070012853",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IL",
"license": "070012853",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "IL",
"license": "070012853",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "IL",
"license": "070012853",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.