Active NPI
Scott H Backofen, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1043311038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025593-1
- Practice address
- 17 E 82ND St
New York, NY 10028-0302 - Phone
- (212) 988-2501
- Fax
- (212) 988-2509
- NPI assigned
- Sep 25, 2006
- 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 | 025593-1 | Primary |
Addresses
Primary practice location
17 E 82ND St
New York, NY 10028-0302
Mailing address
12 E 46TH St FL 8
New York, NY 10017-2418
Phone (212) 499-0876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1779725 | Other | UNITED HEALTHCARE | |
| N46882 | Other | NY | HEALTH NET |
| P3613297 | Other | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Harbor Rd
Port Washington, NY 11050-2534
Phone (516) 965-0335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparacio Physical Therapy P.C. | Current | Accepting new patients | |
| H&D Physical Therapy & Occupational Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| H&D Dynamic Physical & Occupational Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3 School St
Ste 205
Glen Cove, NY 11542
Phone (516) 676-2327
1165 Northern Blvd
Ste 403
Manhasset, NY 11030
Phone (516) 439-5656
102 Harbor Rd
Port Washington, NY 11050
Phone (516) 965-0335
Organizations & group practices 3
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
- Glen Cove, NY
- NPI 1235432063
-
- Physical Therapist
- New York, NY
- NPI 1699926139
-
- Physical Therapist
- New York, NY
- NPI 1235174228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1043311038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 E 46TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172418",
"telephone_number": "212-499-0876",
"fax_number": "212-953-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 82ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280302",
"telephone_number": "212-988-2501",
"fax_number": "212-988-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKOFEN",
"first_name": "SCOTT",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "025593-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1779725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "N46882",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3613297",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.