Individual provider Active NPI

Scott Goyette, PT

  • Physical Therapist
  • Gambrills, MD
National Provider Identifier
1194359646
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27878 Issued in MD
Practice address
2634 Brandermill Blvd
Gambrills, MD 21054-1651
Phone
(410) 721-7201
Fax
(410) 721-7580
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 27878 MD Primary

Addresses

Primary practice location

2634 Brandermill Blvd
Gambrills, MD 21054-1651

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200323002751 MD Practitioner - Physical Therapist in Private Practice 4284062399 Reassigns benefits to 2 organizations
I20200610000902 DC Practitioner - Physical Therapist in Private Practice 4284062399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

2304 E Churchville Rd
Bel Air, MD 21015-1721
Phone (410) 734-6556

7468 Candlewood Rd
Suite H3
Hanover, MD 21076-3211
Phone (410) 684-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27878MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jun 5, 2020 Accepting new patients

Locations

2103 Laurel Bush Rd
Ste C
Bel Air, MD 21015
Phone (410) 569-2626

2304 E Churchville Rd
Bel Air, MD 21015
Phone (410) 734-6556

6 Barnes Corner Rd
Colora, MD 21917
Phone (410) 658-6616

3938 Conowingo Rd
Darlington, MD 21034
Phone (410) 457-2930

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

216 Mountain Rd
Fallston, MD 21047
Phone (410) 877-0222

12 Newport Dr
Ste A
Forest Hill, MD 21050
Phone (410) 838-6808

2634 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 721-7201

7468 Candlewood Rd
Ste H3
Hanover, MD 21076
Phone (410) 684-5642

1035 Pulaski Hwy
Ste 107A
Havre de Grace, MD 21078
Phone (443) 843-1003

1411 S Mountain Rd
Joppa, MD 21085
Phone (410) 676-6767

5301 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-9800

12 Mount Carmel Rd
Parkton, MD 21120
Phone (410) 357-0070

1388 Progress Way
Sykesville, MD 21784
Phone (410) 552-9996

4105 Norrisville Rd
Unit 7
White Hall, MD 21161
Phone (410) 692-2941

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1194359646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541651",
            "telephone_number": "410-721-7201",
            "fax_number": "410-721-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYETTE",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.