Individual provider Active NPI

Scott A Johnson

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1306916630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2013 Issued in AL
Practice address
4031 B Balmoral Dr
Huntsville, AL 35801
Phone
(256) 883-1970
Fax
(256) 883-1336
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTH2013 AL Primary

Addresses

Primary practice location

4031 B Balmoral Dr
Huntsville, AL 35801

Mailing address

4031 B Balmoral Dr
Huntsville, AL 35801
Phone (256) 883-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000560 AL Practitioner - Physical Therapist in Private Practice 3971536541 Reassigns benefits to 2 organizations
I20170915002383 TN Practitioner - Physical Therapist in Private Practice 3971536541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University Alabama Birmingham - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therafit, LLCGroup PAC ID 1557390671, 11 clinicians
Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

12819 Hwy 231 431 N
Suite G
Hazel Green, AL 35750-8629
Phone (256) 829-9544

2649 Huntsville Hwy
Fayetteville, TN 37334-6778
Phone (356) 829-9544

4240 Balmoral Dr SW
Suite 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH2013ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry H. Burks Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Sixfourthree, LLC CurrentSince May 26, 2015 Accepting new patients
Therafit, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Sixfourthree, LLC CurrentSince May 26, 2015 Accepting new patients
Sixfourthree, LLC Physical Therapist CurrentSince Jun 21, 2017 Accepting new patients
Putnam Physical Therapy Services, LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Decatur ENT Associates P C PastSince Mar 1, 2022 Accepting new patients
Sixfourthree, LLC Past Accepting new patients

Locations

12819 Highway 231 431 N
#G
Hazel Green, AL 35750
Phone (256) 829-9544

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

4031 Balmoral Dr SW
#B
Huntsville, AL 35801
Phone (256) 883-0636

97 Hughes Rd
Ste P
Madison, AL 35758
Phone (256) 678-9953

1140 Perimeter Park Dr
Cookeville, TN 38501
Phone (615) 526-2345

2649 Huntsville Hwy
Fayetteville, TN 37334
Phone (356) 829-9544

740 Cool Springs Blvd
Ste 215
Franklin, TN 37067
Phone (615) 236-9956

Organizations & group practices 8

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306916630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 B BALMORAL DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 B BALMORAL DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • 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.