Individual provider Active NPI

Scott Milliken, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1104515725
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-005221 Issued in AZ
Practice address
7960 E Thompson Peak Pkwy Ste 102
Scottsdale, AZ 85255-7406
Phone
(602) 313-4710
Fax
(480) 222-1457
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206141 VA
Physical Therapist 225100000X CP025049T TN
Physical Therapist 225100000X LPT-005221 AZ Primary

Addresses

Primary practice location

7960 E Thompson Peak Pkwy Ste 102
Scottsdale, AZ 85255-7406

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

4125 Ironbound Rd Ste 100
Williamsburg, VA 23188-2666
Phone (757) 220-8383

Other practice location 2

806 E Jackson Blvd Ste 15
Jonesborough, TN 37659-1536
Phone (423) 753-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, LA, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230629000728 VA Practitioner - Physical Therapist in Private Practice 1951760628 Reassigns benefits to 1 organization
I20231024000633 TN Practitioner - Physical Therapist in Private Practice 1951760628 Reassigns benefits to 1 organization
I20240112002150 LA Practitioner - Physical Therapist in Private Practice 1951760628 Reassigns benefits to 1 organization
I20240809002390 AZ Practitioner - Physical Therapist in Private Practice 1951760628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-005221AZMDPhysical Therapist
2305206141VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 20, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Jul 28, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

7960 E Thompson Peak Pkwy
Ste 102
Scottsdale, AZ 85255
Phone (480) 256-1422

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

612 Lyle St
Ste 118
Johnson City, TN 37604
Phone (423) 328-3156

806 E Jackson Blvd
Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

4125 Ironbound Rd
Ste 101
Williamsburg, VA 23188
Phone (757) 258-2561

4125 Ironbound Rd
Ste 100
Williamsburg, VA 23188
Phone (757) 220-8383

Organizations & group practices 8

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1104515725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 E THOMPSON PEAK PKWY STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557406",
            "telephone_number": "602-313-4710",
            "fax_number": "480-222-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4125 Ironbound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882666",
            "country_code": "US",
            "telephone_number": "757-220-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 E Jackson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Jonesborough",
            "state": "TN",
            "postal_code": "376591536",
            "country_code": "US",
            "telephone_number": "423-753-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206141",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP025049T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-005221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.