Individual provider Active NPI

Scott Woodbury, PT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1295495810
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP039611T Issued in GA
Practice address
3680 Pleasant Hill Rd Ste 101
Duluth, GA 30096-3268
Phone
(770) 813-5575
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT210002194 DC
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X CP039611T GA Primary

Addresses

Primary practice location

3680 Pleasant Hill Rd Ste 101
Duluth, GA 30096-3268

Mailing address

6445 Luzon Ave NW Apt 118
Washington, DC 20012-3029
Phone (240) 994-6562

Other practice location 1

5530 Wisconsin Ave Ste 960
Chevy Chase, MD 20815-4315
Phone (301) 941-3684

Other practice location 2

1115 U St NW Ste 202
Washington, DC 20009-7875
Phone (202) 897-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508001585 WA Practitioner - Physical Therapist in Private Practice 0446610380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

10004 204TH Ave E
Suite 3100
Bonney Lake, WA 98391-6540
Phone (253) 987-7509

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jan 24, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 24, 2025 Accepting new patients

Locations

1115 U St NW
Ste 202
Washington, DC 20009
Phone (202) 588-5885

3680 Pleasant Hill Rd
Ste 101
Duluth, GA 30096
Phone (770) 813-5575

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1295495810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 LUZON AVE NW APT 118",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200123029",
            "telephone_number": "240-994-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 PLEASANT HILL RD STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963268",
            "telephone_number": "770-813-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Wisconsin Ave Ste 960",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154315",
            "country_code": "US",
            "telephone_number": "301-941-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 U St NW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200097875",
            "country_code": "US",
            "telephone_number": "202-897-3991",
            "fax_number": "202-888-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002194",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP039611T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.