Individual provider Active NPI

Scott Casares, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1396060992
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35077 Issued in CA
Practice address
1235 Pear Ave
Suite 101
Mountain View, CA 94043-1444
Phone
(650) 965-8434
Fax
(650) 965-8545
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 35077 CA Primary

Addresses

Primary practice location

1235 Pear Ave
Suite 101
Mountain View, CA 94043-1444

Mailing address

1235 Pear Ave
Suite 101
Mountain View, CA 94043-1444
Phone (650) 965-8434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001130 OR Practitioner - Physical Therapist in Private Practice 8123298882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lake Physical Therapy and Rehab LPGroup PAC ID 4082853825, 39 clinicians

Practice addresses (Care Compare)

15755 SW Sequoia Pkwy
Suite 101
Tigard, OR 97224-7166
Phone (503) 639-8284

4606 SE Boardman Ave
Milwaukie, OR 97267-5930
Phone (503) 353-9776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35077CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Lake Physical Therapy and Rehab LP Physical Therapist CurrentSince Aug 11, 2013 Accepting new patients

Locations

101 S State St
Ste 200G
Lake Oswego, OR 97034
Phone (503) 636-3028

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025

4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776

21 Cowlitz St
Saint Helens, OR 97051
Phone (503) 396-5411

Organizations & group practices 1

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1396060992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PEAR AVE",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431444",
            "telephone_number": "650-965-8434",
            "fax_number": "650-965-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PEAR AVE",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431444",
            "telephone_number": "650-965-8434",
            "fax_number": "650-965-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARES",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.