Active NPI
Thaddeus Scott, DPT, PT
- Physical Therapist
- Neenah, WI
National Provider Identifier
1174496376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1743324
- Practice address
- 1205 W American Dr
Neenah, WI 54956-1405 - Phone
- (920) 430-8113
- NPI assigned
- Sep 25, 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 | 1743324 | WI | Primary |
Addresses
Primary practice location
1205 W American Dr
Neenah, WI 54956-1405
Mailing address
1205 W American Dr
Neenah, WI 54956-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1743324 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1174496376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 W AMERICAN DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W AMERICAN DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561405",
"telephone_number": "920-430-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "THADDEUS",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1743324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.