Individual provider Active NPI

Scott Andrew Boschetto, PT ATC

  • Orthopedic Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1104140482
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT001946 Issued in GA
Practice address
725 Alstonefield Dr
Alpharetta, GA 30004-5074
Phone
(678) 409-3243
Fax
(678) 624-0708
NPI assigned
Mar 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT001946 GA Primary

Addresses

Primary practice location

725 Alstonefield Dr
Alpharetta, GA 30004-5074

Mailing address

725 Alstonefield Dr
Alpharetta, GA 30004-5074
Phone (678) 409-3243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000220 GA Practitioner - Physical Therapist in Private Practice 1557532876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health Solutions, LLCGroup PAC ID 9335394170, 3 clinicians

Practice addresses (Care Compare)

13190 Hwy 92
Suite 70 90
Woodstock, GA 30188-4409

13190 Hwy 92
Suite 70 90
Woodstock, GA 30188-4415
Phone (770) 926-9495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT001946GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health Options Inc. Past Accepting new patients
Jorge a. Bueno Chiropractic LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDBFCA/Endpoint/JDBFCA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1104140482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ALSTONEFIELD DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045074",
            "telephone_number": "678-409-3243",
            "fax_number": "678-624-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALSTONEFIELD DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045074",
            "telephone_number": "678-409-3243",
            "fax_number": "678-624-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHETTO",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT001946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.