Individual provider Active NPI

Scott Allen Lynch, MA, PTA

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1386611341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008284 Issued in WA
Practice address
122 S Ely St
Kennewick, WA 99336-2901
Phone
(509) 783-8977
Fax
(509) 783-6151
NPI assigned
Mar 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 PT00008284 WA Primary

Addresses

Primary practice location

122 S Ely St
Kennewick, WA 99336-2901

Mailing address

122 S Ely St
Kennewick, WA 99336-2901
Phone (509) 783-8977

Other identifiers 1

IdentifierTypeStateIssuer
7113939MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000025 WA Practitioner - Physical Therapist in Private Practice 6103712302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Health Care PLLCGroup PAC ID 8123914314, 2 clinicians

Practice addresses (Care Compare)

2459 S Union PL
Suite 140
Kennewick, WA 99338-2441
Phone (509) 783-8977

299 Bradley Blvd
Suite 101
Richland, WA 99352-4691
Phone (509) 713-7555

4900 Paradise Way
Suite 107
West Richland, WA 99353-7949
Phone (509) 943-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Tier 1 Therapy LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Superior Health Care PLLC Physical Therapist CurrentSince Oct 1, 2002 Accepting new patients
Therapy Options LLC PastSince May 1, 2022 Accepting new patients

Locations

2839 W Kennewick Ave
Kennewick, WA 99336
Phone (509) 783-8977

122 S Ely St
Kennewick, WA 99336
Phone (509) 783-8977

2459 S Union Pl
Ste 140
Kennewick, WA 99338
Phone (509) 783-8977

245 Van Giesen St
Bldg C
Richland, WA 99354
Phone (503) 302-1459

875 Swift Blvd
Richland, WA 99352
Phone (509) 943-8977

245 Van Giesen St
Richland, WA 99354
Phone (509) 551-8156

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386611341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S ELY ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362901",
            "telephone_number": "509-783-8977",
            "fax_number": "509-783-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S ELY ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362901",
            "telephone_number": "509-783-8977",
            "fax_number": "509-783-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "MA, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113939",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

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.