Individual provider Active NPI

Scott S Hazuda, PT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1386723948
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18590 Issued in MD
Practice address
2629 Riva Rd Ste 114
Annapolis, MD 21401-7428
Phone
(410) 573-2530
Fax
(410) 573-2536
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 18590 MD Primary

Addresses

Primary practice location

2629 Riva Rd Ste 114
Annapolis, MD 21401-7428

Mailing address

2629 Riva Rd Ste 114
Annapolis, MD 21401-7428
Phone (410) 573-2530

Other identifiers 1

IdentifierTypeStateIssuer
435138000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000919 MD Practitioner - Physical Therapist in Private Practice 1456534734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

2003 Medical Pkwy
Suite 400
Annapolis, MD 21401-3088
Phone (410) 573-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18590MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 21, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 21, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients

Locations

2629 Riva Rd
Ste 114
Annapolis, MD 21401
Phone (410) 573-2530

2003 Medical Pkwy
Ste 400
Annapolis, MD 21401
Phone (410) 573-2530

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

8401 Colesville Rd
Ste 50
Silver Spring, MD 20910
Phone (301) 588-7888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1386723948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD STE 114",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD STE 114",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZUDA",
        "first_name": "SCOTT",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.