Individual provider Active NPI

Matthew Archibald Scott, DPT, ATC

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1174806624
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7960606-2401 Issued in UT
Practice address
147 W 400 N
Suite C
Orem, UT 84057-4658
Phone
(801) 221-9060
Fax
(801) 294-6917
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7960606-2401 UT Primary

Addresses

Primary practice location

147 W 400 N
Suite C
Orem, UT 84057-4658

Mailing address

147 W. 400 N
Orem, UT 84057
Phone (801) 221-9071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000491 UT Practitioner - Physical Therapist in Private Practice 1153598024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Sports Medicine IncGroup PAC ID 8123189081, 2 clinicians

Practice addresses (Care Compare)

147 W 400
Orem, UT 84057-4658
Phone (801) 221-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7960606-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Sports Medicine Inc CurrentSince Dec 15, 2014 Accepting new patients

Locations

147 W 400 N
Ste C
Orem, UT 84057
Phone (801) 221-9060

147 W 400 N
Orem, UT 84057
Phone (801) 221-9060

Organizations & group practices 1

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1174806624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W. 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-221-9071",
            "fax_number": "801-221-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W 400 N",
            "address_2": "SUITE C",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574658",
            "telephone_number": "801-221-9060",
            "fax_number": "801-294-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MATTHEW",
        "middle_name": "ARCHIBALD",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7960606-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.