Individual provider Active NPI

Robert T Scanlon, PT

  • Physical Therapist
  • Summit, NJ
National Provider Identifier
1447314455
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00283600 Issued in NJ
Practice address
47 Maple St
Summit, NJ 07901-2571
Phone
(908) 598-9009
Fax
(908) 598-9492
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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 40QA00283600 NJ Primary

Addresses

Primary practice location

47 Maple St
Summit, NJ 07901-2571

Mailing address

9 Rosalyn Dr
Long Valley, NJ 07853-3589
Phone (908) 687-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110329000236 NJ Practitioner - Physical Therapist in Private Practice 2365625316 Reassigns benefits to 2 organizations
I20210624002225 PA Practitioner - Physical Therapist in Private Practice 2365625316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motive Sports and Physical Therapy Malvern LLCGroup PAC ID 7113459587, 15 clinicians

Practice addresses (Care Compare)

280 N Providence Rd
Suite 100
Media, PA 19063-3525
Phone (610) 424-5800

Merit-based Incentive Payment System (MIPS)

Final score
70.15 of 100Reported as group
Quality
51.13
Improvement activities
40
Cost
65.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Nov 4, 2019 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Activecare Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Motive Sports and Physical Therapy Malvern, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Motive Sports and Physical Therapy, PLLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients

Locations

600 Mount Pleasant Ave
Ste F
Dover, NJ 07801
Phone (973) 366-4000

501 State Route 10
Ledgewood, NJ 07852
Phone (973) 584-6751

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

91 Wilmington W Chester Pike
Ste 28
Chadds Ford, PA 19317
Phone (302) 584-5621

91 Wilmington W Chester Pike
Ste 10
Chadds Ford, PA 19317
Phone (610) 991-0493

101 Lindenwood Dr
Ste 225
Malvern, PA 19355
Phone (610) 504-4476

480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296

280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800

Organizations & group practices 5

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1447314455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROSALYN DR",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533589",
            "telephone_number": "908-687-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012571",
            "telephone_number": "908-598-9009",
            "fax_number": "908-598-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00283600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.