Individual provider Active NPI

Scott Andrew Johnson, PT, MPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1376825356
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63856 Issued in OR
Practice address
1334 NE 2ND St
Bend, OR 97701-4344
Phone
(541) 797-5800
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11449 CO
Physical Therapist 225100000X 63856 OR Primary

Addresses

Primary practice location

1334 NE 2ND St
Bend, OR 97701-4344

Mailing address

20055 Mount Hope LN
Bend, OR 97702-3259
Phone (541) 797-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191219002372 AZ Practitioner - Physical Therapist in Private Practice 4082874706 Reassigns benefits to 1 organization
I20201005001671 OR Practitioner - Physical Therapist in Private Practice 4082874706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiofitness Solutions LLCGroup PAC ID 5890181648, 5 clinicians

Practice addresses (Care Compare)

1334 NE 2ND St
Bend, OR 97701-4344
Phone (781) 674-6129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11449COMDPhysical Therapist
63856ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchette Physical Therapy CurrentSince Sep 9, 2019 Accepting new patients
Physiofitness Solutions, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Prentice Chiropractic LLC CurrentSince Jan 26, 2025 Accepting new patients
Spark Physical Therapy, PLLC Physical Therapist PastSince Oct 7, 2015 Accepting new patients
Back in Motion Chiropractic LLC PastSince Oct 9, 2014 Accepting new patients
Move More Performance - Wellness - Rehab PastSince May 25, 2021 Accepting new patients

Locations

4730 E Warner Rd
Ste 5
Phoenix, AZ 85044
Phone (480) 785-5415

1334 NE 2nd St
Bend, OR 97701
Phone (541) 797-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1376825356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 MOUNT HOPE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023259",
            "telephone_number": "541-797-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014344",
            "telephone_number": "541-797-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11449",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.