Individual provider Active NPI

Scott W Thorsen, D.C.

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1467571760
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272954 Issued in OR
Practice address
1328 NW 6TH St
Grants Pass, OR 97526-1225
Phone
(541) 476-4010
Fax
(541) 474-6310
NPI assigned
Mar 28, 2007
Reactivated
May 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272954 OR Primary

Addresses

Primary practice location

1328 NW 6TH St
Grants Pass, OR 97526-1225

Mailing address

PO Box 774
Grants Pass, OR 97528-0066
Phone (541) 476-4010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000817 OR Practitioner - Chiropractic 9931255015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Total Performance Sports Medicine PCGroup PAC ID 4789730730, 8 clinicians

Practice addresses (Care Compare)

1328 NW 6TH St
Grants Pass, OR 97526-1255
Phone (541) 476-4010

202 Lister St
Cave Junction, OR 97523-9047
Phone (541) 592-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
272954ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Performance Sports Medicine, PC Chiropractor CurrentSince Apr 20, 2009 Accepting new patients

Locations

202 Lister St
Cave Junction, OR 97523
Phone (541) 592-6220

1328 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4010

2160 NW Vine St
Grants Pass, OR 97526
Phone (541) 476-1919

3522 Heathrow Way
Ste 100
Medford, OR 97504
Phone (541) 200-3005

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1467571760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280066",
            "telephone_number": "541-476-4010",
            "fax_number": "541-474-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261225",
            "telephone_number": "541-476-4010",
            "fax_number": "541-474-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSEN",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-05-20",
        "deactivation_date": "2019-04-25",
        "reactivation_date": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.