Individual provider Active NPI

Scott Michael Parmer, PT

  • Physical Therapist
  • Maplewood, MN
National Provider Identifier
1386217792
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12239 Issued in MN
Practice address
1570 Beam Ave Ste 200
Maplewood, MN 55109-3137
Phone
(651) 232-7820
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 12239 MN Primary

Addresses

Primary practice location

1570 Beam Ave Ste 200
Maplewood, MN 55109-3137

Mailing address

500 Cambridge St Apt 301
Hopkins, MN 55343-8152
Phone (630) 974-7607

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210823001233 MN Practitioner - Physical Therapist in Private Practice 8123423662 Reassigns benefits to 3 organizations
I20230612001303 OR Practitioner - Physical Therapist in Private Practice 8123423662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merion Square Road Medical PCGroup PAC ID 0446605422, 22 clinicians
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

12110 Hupp St NE
Blaine, MN 55449-7066
Phone (646) 598-8338

295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7700

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8080

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12239MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regions Hospital CurrentSince Oct 9, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Therapeutic Associates Inc Single Specialty Current Accepting new patients
Therapeutic Associates Inc Single Specialty CurrentSince Apr 19, 2023 Accepting new patients
Merion Square Road Medical PC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Healtheast Outpatient Services, LLC Single Specialty CurrentSince Jul 2, 2021 Accepting new patients
Regions Hospital Single Specialty CurrentSince Oct 9, 2023 Accepting new patients
Strength Training Inc PastSince Dec 30, 2022 Accepting new patients
Therapeutic Associates Inc Single Specialty Past Accepting new patients

Locations

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1570 Beam Ave
Ste 200
Saint Paul, MN 55109
Phone (651) 232-7820

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194

702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765

5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

4677 Commercial St SE
Salem, OR 97302
Phone (503) 391-8729

515 Taggart Dr NW
Ste 150
Salem, OR 97304
Phone (503) 363-6770

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Organizations & group practices 9

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1386217792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAMBRIDGE ST APT 301",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438152",
            "telephone_number": "630-974-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093137",
            "telephone_number": "651-232-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.