Active NPI
Scott Andrew Boschetto, PT ATC
- Orthopedic Physical Therapist
- Alpharetta, GA
National Provider Identifier
1104140482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT001946
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT001946 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Health Options Inc. | Past | Accepting new patients | |
| Jorge a. Bueno Chiropractic LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Woodstock, GA
- NPI 1003180563
GA
-
- Durable Medical Equipment & Medical Supplies
- Roswell, GA
- NPI 1710043468
-
- Nutrition Chiropractor
- Acworth, GA
- NPI 1962679340
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.