Individual provider Active NPI

Scott Radomski, MSPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1215934518
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4399 Issued in AZ
Practice address
9664 E Davenport Dr
Scottsdale, AZ 85260-1426
Phone
(480) 332-3472
Fax
(480) 383-6077
NPI assigned
Jun 30, 2005
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 4399 AZ Primary

Addresses

Primary practice location

9664 E Davenport Dr
Scottsdale, AZ 85260-1426

Mailing address

9664 E Davenport Dr
Scottsdale, AZ 85260-1426
Phone (480) 332-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018384NYMDSpecialist
4399AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amurvel Physical Therapy Services PC Physical Therapist PastSince May 30, 2018 Accepting new patients
Institute for Bone and Joint Disorders PC Past Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1215934518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 E DAVENPORT DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601426",
            "telephone_number": "480-332-3472",
            "fax_number": "516-977-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9664 E DAVENPORT DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601426",
            "telephone_number": "480-332-3472",
            "fax_number": "480-383-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "SCOTT",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.