Individual provider Active NPI

Lonnie R. Scott, MA, ATC

  • Athletic Trainer
  • Red Bluff, CA
National Provider Identifier
1912115510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
931358 Issued in CA
Practice address
2490 S Main St
Red Bluff, CA 96080-4337
Phone
(530) 529-3636
Fax
(530) 529-3797
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 931358 CA Primary

Addresses

Primary practice location

2490 S Main St
Red Bluff, CA 96080-4337

Mailing address

2490 S Main St
Red Bluff, CA 96080-4337
Phone (530) 529-3636

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
931358CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Wellness Center CurrentSince Jan 6, 2016 Accepting new patients

Locations

2490 S Main St
Red Bluff, CA 96080
Phone (530) 529-3636

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912115510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804337",
            "telephone_number": "530-529-3636",
            "fax_number": "530-529-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804337",
            "telephone_number": "530-529-3636",
            "fax_number": "530-529-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LONNIE",
        "middle_name": "R.",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "931358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

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.

Verify at the official NPI Registry.