Scott Douglas Hadley, PHD, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013534 Issued in MI

Practice address

1140 Monroe Ave NW
Ste. 5201
Grand Rapids, MI 49503-1055

Phone

(616) 401-2785

Fax

(616) 328-6585

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Health Motion Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Kentwood, MI
  • NPI 1992817316

  Physical Therapist

  NPD (past)
• PT 360 Physical Therapy, PLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1598903759
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1205017159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MONROE AVE NW",
            "address_2": "STE. 5201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031055",
            "telephone_number": "616-401-2785",
            "fax_number": "616-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MONROE AVE NW",
            "address_2": "STE. 5201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031055",
            "telephone_number": "616-401-2785",
            "fax_number": "616-328-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "credential": "PHD, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackley Hospital
• Hackley Hospital
• Amira Jayden Kathleen Haddad
• Andrea Hadley, MD
• Ryan J Hadley, M. D.
• Jonathan Haeffele, LMSW, LCSW
• Kelly Hafer
• Jean M Haff
• Briona Lynn Hagadorn, RN
• Brynn Paige Hagadus, LMSW

• All providers in Grand Rapids, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.