Peter Anthony Scognamillo Jr., DPT ATC CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28062 Issued in CA

Practice address

9610 Granite Ridge Drive Suite C
San Diego, CA 92123

Phone

(858) 573-0550

Fax

(858) 573-0550

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• James Mawhiney Physical Therapy Inc

  • Physical Therapist
  • Bermuda Dunes, CA
  • NPI 1851784177
  Medicare reassignment NPD
• PT Works Inc

  • Physical Therapist
  • La Quinta, CA
  • NPI 1649861949
  Medicare reassignment NPD
• Elite Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)
• Geller Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1639258239

  Physical Therapist

  NPD (past)
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• Personally Fit Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1043390073
  NPD (past)
• Stac Physical Therapy Pfi, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1427703354
  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": "1321920000000",
    "number": "1245341957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13038 MARITIME PLACE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "858-205-7383",
            "fax_number": "858-485-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 GRANITE RIDGE DRIVE SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-573-0550",
            "fax_number": "858-573-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGNAMILLO",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT ATC CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Sally Sclavakis
• Amanda Elizabeth Scofield
• Mark Scofield
• Steven Ward Scoggin, MPT
• Kelly Michelle Scoggins, HIS
• Anthony J. Scoma, DDS
• Phaedra Nicole Scoortis, M.A., MFT
• Scooter Store - San Diego LLC
• Scott a. Strommer & Leslie S. Strommer,DDS,Inc.
• Scott C. Wallace, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.