Active NPI
John Scalici, PT
- Physical Therapist
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204675
- Practice address
- 2106 Executive Dr
Hampton, VA 23666-2402 - Phone
- (757) 838-6678
- Fax
- (757) 838-8116
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0090391 | NY | |
| Physical Therapist | 225100000X | 2305204675 | VA | Primary |
Addresses
Primary practice location
2106 Executive Dr
Hampton, VA 23666-2402
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2306
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192971 | Other | VA | BCBS PHY THERAPY |
| 7500685 | Other | VA | AETNA |
| 010344352 | Medicaid | VA | |
| P00395282 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070402000658 | VA | Practitioner - Physical Therapist in Private Practice | 3476517061 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10128 W Broad St
Forum Building III Suite K
Glen Allen, VA 23060-6761
Phone (804) 217-9210
2106 Executive Dr
Hampton, VA 23666-2402
Phone (757) 838-6678
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0090391 | NY | MD | Physical Therapist |
| 2305204675 | VA | MD | Physical Therapist |
| 009039 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Island Sports Physiotherapy, PC | Past | Accepting new patients | |
| Island Sports Physical Therapy of Smithtown, P.C. | Past | Accepting new patients | |
| Island Sports Physiotherapy, PC | Past | Accepting new patients |
Locations
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
2106 Executive Dr
Hampton, VA 23666
Phone (757) 838-6678
771 Pilot House Dr
#A
Newport News, VA 23606
Phone (757) 873-2302
Organizations & group practices 6
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.
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Glen Allen, VA
- NPI 1477588986
-
- Physical Therapy Clinic/Center
- Nesconset, NY
- NPI 1639109770
-
- Physical Therapy Clinic/Center
- East Northport, NY
- NPI 1366482408
-
- Physical Therapy Clinic/Center
- Huntington Station, NY
- NPI 1558300202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1376571190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2306",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 EXECUTIVE DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662402",
"telephone_number": "757-838-6678",
"fax_number": "757-838-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALICI",
"first_name": "JOHN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0090391",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHY THERAPY",
"identifier": "192971",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7500685",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010344352",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00395282",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
- Marilyn D. Saulsbury, R.PH., PHD.
- Sherri Lynette Saunders-Goldson, DNP, RN, WHNP-BC
- Sheree Savage-Artis
- Stephanie Savage, LPC, LSATP
- Kyanna Demisha Sawyer
- Sandi Lynn Scarangella, MA, RD, CHES
- Scarlet Thread Homecare LLC
- Maryanne Schaeffer, R.D.
- Annette Michelle Schanz, PA-C
- Jacob William Schauer, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.