Active NPI
Scott Victor Bazzani
- Physical Therapist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010545
- Practice address
- 21031 Michigan Ave
Dearborn, MI 48124-2339 - Phone
- (313) 216-0332
- Fax
- (313) 216-0335
- NPI assigned
- Feb 23, 2018
- Last updated
- Oct 30, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010545 | MI | Primary |
Addresses
Primary practice location
21031 Michigan Ave
Dearborn, MI 48124-2339
Mailing address
21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 216-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 277-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010545 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brossy-Waterworks PC | Physical Therapist | Current | Accepting new patients |
| Saad-Waterworks, PC | Physical Therapist | Current | Accepting new patients |
| Finch-Waterworks PC | Current | Accepting new patients | |
| Waterworks Physical Therapy, PC | Current | Accepting new patients | |
| Silberg-Waterworks PC | Current | Accepting new patients | |
| Mohamed Saad-Waterworks, PC | Physical Therapist | Current | Accepting new patients |
| Patel-Waterworks PC | Current | Accepting new patients | |
| Milia-Waterworks PC | Current | Accepting new patients |
Locations
21031 Michigan Ave
#2
Dearborn, MI 48124
21031 Michigan Ave
Dearborn, MI 48124
Phone (313) 216-0332
21031 Michigan Ave
Fl 2
Dearborn, MI 48124
Phone (313) 216-0332
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Dearborn, MI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1124529391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-216-0332",
"fax_number": "313-216-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-216-0332",
"fax_number": "313-216-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZZANI",
"first_name": "SCOTT",
"middle_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.