Active NPI
Scott McCauley, DPT, ECS
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1104072065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1272750
- Practice address
- 1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946 - Phone
- (817) 719-7714
- Fax
- (817) 796-1114
- NPI assigned
- Aug 12, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 43805 | TX | |
| Physical Therapist | 225100000X | 1272750 | TX | Primary |
Addresses
Primary practice location
1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946
Mailing address
1952 N Port CT
Grapevine, TX 76051-7168
Phone (817) 719-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 12TH Ave
Suite 201
Fort Worth, TX 76104-3946
Phone (817) 719-7714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43805 | TX | MD | Clinical Electrophysiology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearcut Ortho, LLC | Physical Therapist | Current | Accepting new patients |
| Summit Neurodiagnostics, LLC | Electrophysiology, Clinical | Current | Accepting new patients |
| Peter D Leonard, M.D. PA | Past | Accepting new patients | |
| Reliable Emg | Electrophysiology, Clinical | Past | Accepting new patients |
Locations
1001 12th Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 719-7714
Organizations & group practices 4
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 Therapist
- Fort Worth, TX
- NPI 1720565583
-
- Clinical Electrophysiology Physical Therapist
- Grapevine, TX
- NPI 1396480190
Electrophysiology, Clinical
-
- Clinical Electrophysiology Physical Therapist
- Los Angeles, CA
- NPI 1851776694
Electrophysiology, Clinical
-
- Specialist
- Plano, TX
- NPI 1699132589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1104072065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 N PORT CT",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517168",
"telephone_number": "817-719-7714",
"fax_number": "817-796-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043946",
"telephone_number": "817-719-7714",
"fax_number": "817-796-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPT, ECS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "TX",
"license": "43805",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1272750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.