Active NPI
Isaac Scott, DPT
- Physical Therapist
- Maricopa, AZ
National Provider Identifier
1023845658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-033781
- Practice address
- 21300 N John Wayne Pkwy Ste 125
Maricopa, AZ 85139-8978 - Phone
- (520) 568-2723
- Fax
- (520) 568-2865
- NPI assigned
- Sep 17, 2024
- 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 | LPT-033781 | AZ | Primary |
Addresses
Primary practice location
21300 N John Wayne Pkwy Ste 125
Maricopa, AZ 85139-8978
Mailing address
1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone (480) 833-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21300 N John Wayne Pkwy
Maricopa, AZ 85139-8978
Phone (520) 568-2723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petersen Physical Therapy PC | Current | Accepting new patients |
Locations
21300 N John Wayne Pkwy
Ste 125
Maricopa, AZ 85139
Phone (520) 568-2723
1844 E Baseline Rd
Ste C5
Tempe, AZ 85283
Phone (480) 833-1005
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.
-
- Physical Therapy Clinic/Center
- Tempe, AZ
- NPI 1578673562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1023845658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 E BASELINE RD STE C5",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831506",
"telephone_number": "480-833-1005",
"fax_number": "480-833-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21300 N JOHN WAYNE PKWY STE 125",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398978",
"telephone_number": "520-568-2723",
"fax_number": "520-568-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ISAAC",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-033781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.