Active NPI
Scott Anderson
- Physical Medicine & Rehabilitation Physician
- Arcadia, WI
National Provider Identifier
1043767296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2343-19
- Practice address
- 464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401 - Phone
- (608) 323-9998
- Fax
- (608) 323-2150
- NPI assigned
- Sep 6, 2016
- Last updated
- Sep 6, 2016
- 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 Medicine & Rehabilitation Physician | 208100000X | 2343-19 | WI | Primary |
Addresses
Primary practice location
464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401
Mailing address
464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401
Phone (608) 323-9998
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2343-19 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Solutions, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Achieve Physical Therapy & Sports Medicine
- Physical Therapist
- Holmen, WI
- NPI 1346329869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1043767296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 S SAINT JOSEPH AVE STE 100",
"city": "ARCADIA",
"state": "WI",
"postal_code": "546121401",
"telephone_number": "608-323-9998",
"fax_number": "608-323-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 S SAINT JOSEPH AVE STE 100",
"city": "ARCADIA",
"state": "WI",
"postal_code": "546121401",
"telephone_number": "608-323-9998",
"fax_number": "608-323-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "2343-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.