Individual provider Active NPI

Scott David Heisinger, D.P.T.

  • Orthopedic Physical Therapist
  • Eastsound, WA
National Provider Identifier
1336168152
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00007731 Issued in WA
Practice address
49 Deye LN
Eastsound, WA 98245-8578
Phone
(360) 376-6604
Fax
(360) 376-4059
NPI assigned
Jul 19, 2006
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00007731 WA Primary

Addresses

Primary practice location

49 Deye LN
Eastsound, WA 98245-8578

Mailing address

PO Box 487
Eastsound, WA 98245-0487
Phone (360) 376-6604

Other identifiers 1

IdentifierTypeStateIssuer
7123748MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000203 WA Practitioner - Physical Therapist in Private Practice 9335143338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orcas Island Physical Therapy PLLCGroup PAC ID 9537156302, 3 clinicians

Practice addresses (Care Compare)

49 Deye LN
Eastsound, WA 98245-8578
Phone (360) 376-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007731WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orcas Island Physical Therapy, PLLC CurrentSince Jun 5, 2006 Accepting new patients

Locations

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1336168152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982450487",
            "telephone_number": "360-376-6604",
            "fax_number": "360-376-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DEYE LN",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458578",
            "telephone_number": "360-376-6604",
            "fax_number": "360-376-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISINGER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00007731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123748",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.