Individual provider Active NPI

Scott Nufer, DPT

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1053856831
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4967 Issued in NM
Practice address
1011 10TH St
A
Alamogordo, NM 88310-6425
Phone
(575) 439-9878
Fax
(575) 439-9876
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 4967 NM Primary

Addresses

Primary practice location

1011 10TH St
A
Alamogordo, NM 88310-6425

Mailing address

1011 10TH St
A
Alamogordo, NM 88310-6425
Phone (575) 439-9878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222000065 NM Practitioner - Physical Therapist in Private Practice 3274817135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action TherapyGroup PAC ID 4486622628, 7 clinicians

Practice addresses (Care Compare)

1011 A 10TH St
Alamogordo, NM 88310-6425
Phone (575) 439-9878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4967NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Therapy LLC Physical Therapist CurrentSince Jan 2, 2017 Accepting new patients
Back in Action Therapy of Las Cruces Physical Therapist PastSince May 1, 2020 Accepting new patients

Locations

1011 10th St
#A
Alamogordo, NM 88310
Phone (575) 439-9878

1011A 10th St
Alamogordo, NM 88310
Phone (505) 439-9878

Organizations & group practices 2

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1053856831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 10TH ST",
            "address_2": "A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106425",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 10TH ST",
            "address_2": "A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106425",
            "telephone_number": "575-439-9878",
            "fax_number": "575-439-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUFER",
        "first_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.