Active NPI
Sheldon Scott
- Physical Therapist
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4853
- Practice address
- 15 Reinhardt College Pkwy
Suite 102
Canton, GA 30114-5257 - Phone
- (678) 505-4450
- Fax
- (678) 505-4447
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 25, 2014
- 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 Therapist | 225100000X | 4853 | GA | Primary |
Addresses
Primary practice location
15 Reinhardt College Pkwy
Suite 102
Canton, GA 30114-5257
Mailing address
15 Reinhardt College Pkwy
Suite 102
Canton, GA 30114-5257
Phone (678) 505-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52748647 | Other | GA | SHELDON SCOTT BLUE CROSS# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4853 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Current | Accepting new patients | |
| A Step Ahead Physical Therapy, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Pain Solutions Treatment Centers | Past | Accepting new patients | |
| Business Intelligence Technology | Past | Accepting new patients | |
| Athletic Spine Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100
15 Reinhardt College Pkwy
Ste 102
Canton, GA 30114
Phone (678) 505-4455
61 Whitcher St NE
Ste 1150
Marietta, GA 30060
Phone (678) 594-4250
790 Church St NE
Ste 300
Marietta, GA 30060
Phone (770) 422-3290
930 Woodstock Rd
Ste 310
Roswell, GA 30075
Phone (770) 998-6636
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
Interoperability endpoints
- sheldon.scott.1@15749.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1194875500
-
dba Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
-
dba FYZICAL Therapy & Balance Centers
- Physical Therapist
- Marietta, GA
- NPI 1740355304
-
dba Velocity Physical Therapy
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1619140753
-
- Interventional Pain Medicine Physician
- Marietta, GA
- NPI 1497858971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1962467860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY",
"address_2": "SUITE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301145257",
"telephone_number": "678-505-4450",
"fax_number": "678-505-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY",
"address_2": "SUITE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301145257",
"telephone_number": "678-505-4450",
"fax_number": "678-505-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHELDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "4853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHELDON SCOTT BLUE CROSS#",
"identifier": "52748647",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.