Keith David Scott, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305002566 Issued in VA

Practice address

10525 West Dr
Fairfax, VA 22030-4230

Phone

(703) 934-9411

Fax

(703) 934-9497

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

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.

• Fairfax Physical Therapy, Incorporated

  • Orthopedic Physical Therapist
  • Fairfax, VA
  • NPI 1871716563

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1902968761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 LEEDS MANOR RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201152657",
            "telephone_number": "703-934-9411",
            "fax_number": "703-934-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 WEST DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304230",
            "telephone_number": "703-934-9411",
            "fax_number": "703-934-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KEITH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305002566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G02052",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scoliosis Solutions LLC
• Alexis M Scott
• Emma-Catherine P Scott, PHD
• Jeffrey F Scott, MD
• Jennifer Scott
• Kevin R Scott, M.D.
• Morgan Doreen Scott, PA-C
• Rieta Scott, NP
• Tresa Anne Scott, LCSW-C
• Daniel Howard Scrafford

• Orthopedic Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.