Active NPI
Matthew Archibald Scott, DPT, ATC
- Physical Therapist
- Orem, UT
National Provider Identifier
1174806624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7960606-2401
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7960606-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Sports Medicine Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Orem, UT
- NPI 1154573848
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.