Active NPI
Robert M. Scaccia I, PT
- Physical Therapist
- Windham, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1736
- Practice address
- 32 Indian Rock Rd Unit 5
Windham, NH 03087-1697 - Phone
- (603) 890-8541
- Fax
- (603) 890-8736
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1736 | NH | Primary |
Addresses
Primary practice location
32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Mailing address
32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone (603) 890-8541
Other practice location 1
1595 Bridge St Unit 5
Dracut, MA 01826-2696
Phone (978) 735-4479
Other practice location 2
132 E Broadway
Derry, NH 03038-1822
Phone (603) 421-2810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30391625 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisad@scacciapt.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Massachusetts Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1595 Bridge St
Unit 5
Dracut, MA 01826-2696
Phone (978) 735-4479
32 Indian Rock Rd
Windham, NH 03087-1697
Phone (603) 890-8541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1736 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scaccia Physical Therapy & Sports Conditioning, LLC | Physical Therapist | Current | Accepting new patients |
| Summit Physical Therapy & Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Functional Chiropractic, Inc. | Past | Accepting new patients |
Locations
60 Rockingham Rd
Unit 2
Windham, NH 03087
Phone (603) 818-6256
32 Indian Rock Rd
Unit 5
Windham, NH 03087
Phone (603) 890-8541
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Windham, NH
- NPI 1174796056
MA, Physical Therapist
-
- Chiropractor
- Methuen, MA
- NPI 1487890802
-
- Orthopedic Physical Therapist
- Methuen, MA
- NPI 1558472118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1225073679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 INDIAN ROCK RD UNIT 5",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871697",
"telephone_number": "603-890-8541",
"fax_number": "603-890-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 INDIAN ROCK RD UNIT 5",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871697",
"telephone_number": "603-890-8541",
"fax_number": "603-890-8736"
}
],
"practiceLocations": [
{
"address_1": "1595 Bridge St Unit 5",
"address_purpose": "LOCATION",
"city": "Dracut",
"state": "MA",
"postal_code": "018262696",
"country_code": "US",
"telephone_number": "978-735-4479",
"fax_number": "978-735-4490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "132 E Broadway",
"address_purpose": "LOCATION",
"city": "Derry",
"state": "NH",
"postal_code": "030381822",
"country_code": "US",
"telephone_number": "603-421-2810",
"fax_number": "603-421-2756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCACCIA",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2024-06-24",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30391625",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisad@scacciapt.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "32 Indian Rock Rd Unit 5",
"city": "Windham",
"state": "NH",
"country_code": "US",
"postal_code": "030871697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.