Individual provider Active NPI

Scott Madsen, P.T.

  • Physical Therapist
  • Prescott Valley, AZ
National Provider Identifier
1053449785
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2433 Issued in AZ
Practice address
3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208
Phone
(928) 775-9500
NPI assigned
Mar 2, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2433 AZ Primary

Addresses

Primary practice location

3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208

Mailing address

3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208
Phone (928) 775-9500

Other identifiers 1

IdentifierTypeStateIssuer
430819MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000415 AZ Practitioner - Physical Therapist in Private Practice 3173508231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Madsen M.S.P.T. Rehabilitation, Inc.Group PAC ID 2567447626, 2 clinicians

Practice addresses (Care Compare)

2700 N Lake Valley Rd
Suite A1
Prescott Valley, AZ 86314-2668
Phone (928) 775-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2433AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Madsen M.S.P.T. Rehabilitation, Inc. Physical Therapist CurrentSince Aug 1, 2003 Accepting new patients

Locations

3075 N Windsong Dr
Ste C
Prescott Valley, AZ 86314
Phone (928) 775-9500

2700 N Lake Valley Rd
Ste A1
Prescott Vly, AZ 86314
Phone (928) 775-9500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053449785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-775-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-775-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.