Active NPI
Scott J Killam, PT
- Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7539
- Practice address
- 744 The Rialto
Venice, FL 34285-3524 - Phone
- (941) 484-5500
- Fax
- (941) 484-5510
- NPI assigned
- Mar 22, 2007
- 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 | PT7539 | FL | Primary |
Addresses
Primary practice location
744 The Rialto
Venice, FL 34285-3524
Mailing address
744 The Rialto
Venice, FL 34285-3524
Phone (941) 484-5500
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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
744 The Rialto
Venice, FL 34285-3524
Phone (941) 484-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handworks Therapy, L.C. | Physical Therapist | Current | Accepting new patients |
Locations
1503 S McCall Rd
Englewood, FL 34223
Phone (941) 475-5880
14283 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5576
2616 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 927-6862
744 The Rialto
Venice, FL 34285
Phone (941) 484-5500
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1881710358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 THE RIALTO",
"city": "VENICE",
"state": "FL",
"postal_code": "342853524",
"telephone_number": "941-484-5500",
"fax_number": "941-484-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 THE RIALTO",
"city": "VENICE",
"state": "FL",
"postal_code": "342853524",
"telephone_number": "941-484-5500",
"fax_number": "941-484-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLAM",
"first_name": "SCOTT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.