Active NPI
Scott Lewis Dressner
- Physical Therapist
- Tavares, FL
National Provider Identifier
1871728766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17938
- Practice address
- 2762 Dora Ave
Tavares, FL 32778-4970 - Phone
- (352) 742-7837
- Fax
- (352) 742-7837
- NPI assigned
- May 20, 2009
- Last updated
- May 20, 2009
- 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 | PT17938 | FL | Primary |
Addresses
Primary practice location
2762 Dora Ave
Tavares, FL 32778-4970
Mailing address
1403 Chesterfield CT
Eustis, FL 32726-6435
Phone (352) 978-0728
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 |
|---|---|---|---|
| PT17938 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain River Physical Therapy Specialists LLC | Physical Therapist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Parkersburg, WV
- NPI 1437754157
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1871728766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 CHESTERFIELD CT",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266435",
"telephone_number": "352-978-0728",
"fax_number": "352-742-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2762 DORA AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784970",
"telephone_number": "352-742-7837",
"fax_number": "352-742-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRESSNER",
"first_name": "SCOTT",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.