Active NPI
Scott Braje, PT
- Orthopedic Physical Therapist
- Peabody, MA
National Provider Identifier
1043396872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 17780
- Practice address
- 1 Orthopedic Dr
Peabody, MA 01960-1668 - Phone
- (978) 818-6260
- Fax
- (978) 818-6255
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 17780 | MA | Primary |
| Physical Therapist | 225100000X | PT09462 | OH |
Addresses
Primary practice location
1 Orthopedic Dr
Peabody, MA 01960-1668
Mailing address
1 Orthopedic Dr
Peabody, MA 01960-1668
Phone (978) 818-6260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108341 | Medicaid | OH | |
| 382617193-63 | Other | OH | BWC |
| 000000356111 | Other | OH | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Centennial Dr
Peabody, MA 01960-7938
Phone (978) 826-7230
10 Centennial Dr E Entrance
Peabody, MA 01960-7938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT09462 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Wellness Center | Current | Accepting new patients |
Locations
10 Centennial Dr
Peabody, MA 01960
Phone (978) 535-1110
10 Centennial Dr
Ste E
Peabody, MA 01960
Phone (978) 826-7230
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.
-
- Specialist
- Peabody, MA
- NPI 1922064112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043396872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6260",
"fax_number": "978-818-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6260",
"fax_number": "978-818-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAJE",
"first_name": "SCOTT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "17780",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT09462",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108341",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "382617193-63",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000356111",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.