Scott J. Tesoro, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4090 Issued in CO

Practice address

711 E Valley Rd
Suite 202a
Basalt, CO 81621-8370

Phone

(970) 927-9204

Fax

(970) 927-9238

NPI assigned

Aug 31, 2006

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

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sopris Chiropractic PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Basalt, CO
  • NPI 1487867073
  Medicare reassignment NPD Authorized official
• Rocky Mountain Healing Art Inc

  • Chiropractor
  • Glenwood Springs, CO
  • NPI 1245620939
  NPD (past)
• Sopris Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Basalt, CO
  • NPI 1235811936
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225149495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD",
            "address_2": "SUITE 202A",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-9204",
            "fax_number": "970-927-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD",
            "address_2": "SUITE 202A",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-9204",
            "fax_number": "970-927-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORO",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "4090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ann Stillman, PA-C
• Heidi C Stoeckl, L.AC.
• T J Bauer OD PC
• Kevin Tadus
• Maria Lynn Tafuri, LMFT
• David Allen Tetley, RN
• Thomas P. Moore, M.D., PH.D., P.C.
• Thrive Aspen LLC
• Caitlyn Christine Tivy, PT, DPT, OCS
• TKMD LLC

• Sports Physician Chiropractor in Basalt, CO
• Providers in Basalt, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.