Individual provider Active NPI

Scott Peters, MPT

  • Orthopedic Physical Therapist
  • N Kansas City, MO
National Provider Identifier
1184768335
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11-03768 Issued in KS
Practice address
1931 Burlington St
N Kansas City, MO 64116-3407
Phone
(816) 241-2131
Fax
(816) 241-0551
NPI assigned
Feb 19, 2007
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Orthopedic Physical Therapist 2251X0800X 11-03768 KS Primary

Addresses

Primary practice location

1931 Burlington St
N Kansas City, MO 64116-3407

Mailing address

1931 Burlington St
N Kansas City, MO 64116-3407
Phone (816) 241-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140618002262 MO Practitioner - Physical Therapist in Private Practice 1456575612 Reassigns benefits to 1 organization
I20140620001540 KS Practitioner - Physical Therapist in Private Practice 1456575612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

15455 S Rogers Rd
Olathe, KS 66062-3497
Phone (913) 254-0568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070013822ILMDPhysical Therapist
11-03768KSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP CurrentSince Dec 13, 2013 Accepting new patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

609 E Platte Clay Way
Ste B
Cameron, MO 64429
Phone (816) 632-3221

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

1931 Burlington St
North Kansas City, MO 64116
Phone (816) 241-2131

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1184768335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BURLINGTON ST",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163407",
            "telephone_number": "816-241-2131",
            "fax_number": "816-241-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BURLINGTON ST",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163407",
            "telephone_number": "816-241-2131",
            "fax_number": "816-241-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SCOTT",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-03768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.