Graycen Lee Scott, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216641 Issued in VA

Practice address

2 Hammond Dr Ste 155
Lovettsville, VA 20180-8571

Phone

(540) 579-6060

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leesburg Sports, Inc.Group PAC ID 7012956642, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Leesburg Sports, Inc.

  • Physical Therapy Clinic/Center
  • Lovettsville, VA
  • NPI 1952006272
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1891525473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMMOND DR STE 155",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201808571",
            "telephone_number": "540-579-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMMOND DR STE 155",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201808571",
            "telephone_number": "540-579-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GRAYCEN",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Pederson, D.C.
• Pediatric Nutrition Support
• Coree Marie Reuter-McNamara, MS, ATC
• Ride-on Ranch Equine Assisted Therapies
• Kristin Anne Sacoto, OT
• Jacob Xavier See, COTA
• Nicholas Robert Summerfelt, DC
• Thrive Consultation and Therapy
• Autumn Rose Wacker, MS, OTR/L
• Catherine Wycoff, P.T.

• Physical Therapist in Lovettsville, VA
• Providers in Lovettsville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.