Individual provider Active NPI

A. Casey Badder, PT/DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1417356163
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11026 Issued in AZ
Practice address
9097 E Desert Cove Ave
Suite 110
Scottsdale, AZ 85260-6279
Phone
(480) 860-4298
Fax
(480) 860-0356
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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 11026 AZ Primary

Addresses

Primary practice location

9097 E Desert Cove Ave
Suite 110
Scottsdale, AZ 85260-6279

Mailing address

9097 E Desert Cove Ave
Suite 110
Scottsdale, AZ 85260-6279
Phone (480) 860-4298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202000282 AZ Practitioner - Physical Therapist in Private Practice 3870815848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Hills Physical Therapy LLCGroup PAC ID 4385946169, 5 clinicians

Practice addresses (Care Compare)

16650 E Palisades Blvd
Suite 109
Fountain Hills, AZ 85268-3764
Phone (480) 404-6775

Merit-based Incentive Payment System (MIPS)

Final score
80.06 of 100Reported as individual
Quality
80
Improvement activities
40
Cost
60.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Hills Physical Therapy LLC Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients

Locations

16650 E Palisades Blvd
Ste 109
Fountain Hls, AZ 85268
Phone (480) 404-6775

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, 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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1417356163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606279",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606279",
            "telephone_number": "480-860-4298",
            "fax_number": "480-860-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDER",
        "first_name": "A.",
        "middle_name": "CASEY",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.