Active NPI
Scott Alan Pickett, LPTA
- Physical Therapy Assistant
- Mobile, AL
National Provider Identifier
1902966054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1394
- Practice address
- 67 E Midtown Park
Mobile, AL 36606-4141 - Phone
- (251) 476-1279
- Fax
- (251) 476-2882
- NPI assigned
- Dec 11, 2006
- 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 Therapy Assistant | 225200000X | PTA1394 | AL | Primary |
Addresses
Primary practice location
67 E Midtown Park
Mobile, AL 36606-4141
Mailing address
7172 Muscadine Ave
Mobile, AL 36618-3351
Phone (251) 583-0842
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 |
|---|---|---|---|
| PTA1394 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902966054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7172 MUSCADINE AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366183351",
"telephone_number": "251-583-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 E MIDTOWN PARK",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064141",
"telephone_number": "251-476-1279",
"fax_number": "251-476-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "SCOTT",
"middle_name": "ALAN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA1394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.