Individual provider Active NPI

Scott Hakon Schoultz, OTR/L

  • Occupational Therapist
  • Friday Harbor, WA
National Provider Identifier
1912939364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00004243 Issued in WA
Practice address
849 Spring St
#1
Friday Harbor, WA 98250-9376
Phone
(360) 370-5226
Fax
(360) 370-5559
NPI assigned
Jul 7, 2006
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
Occupational Therapist 225X00000X OT00004243 WA Primary

Addresses

Primary practice location

849 Spring St
#1
Friday Harbor, WA 98250-9376

Mailing address

19 Beresford Rd
Friday Harbor, WA 98250-6001

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Islanders Physical Therapy and Rehabilitation, Inc. PastSince Jan 4, 2016 Accepting new patients
Friday Harbor Physical Therapy and Rehabilitation, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912939364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BERESFORD RD",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982506001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SPRING ST",
            "address_2": "#1",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509376",
            "telephone_number": "360-370-5226",
            "fax_number": "360-370-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOULTZ",
        "first_name": "SCOTT",
        "middle_name": "HAKON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

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.