Individual provider Active NPI

Maude C. Scott, PHYSICAL THERAPIST

  • Specialist
  • Palo Alto, CA
National Provider Identifier
1487734455
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 10584 Issued in CA
Practice address
401 Lambert Ave
Palo Alto, CA 94306-2220
Phone
(650) 493-3778
Fax
(650) 493-7441
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 10584 CA Primary

Addresses

Primary practice location

401 Lambert Ave
Palo Alto, CA 94306-2220

Mailing address

401 Lambert Ave
Palo Alto, CA 94306-2220
Phone (650) 493-3778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000578 CA Practitioner - Physical Therapist in Private Practice 0840219838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadduck - Physical Therapy Works IncGroup PAC ID 6507259538, 12 clinicians

Practice addresses (Care Compare)

794 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone (650) 947-9646

Merit-based Incentive Payment System (MIPS)

Final score
98.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
10584CAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shadduck - Physical Therapy Works Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

794 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 547-9646

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487734455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LAMBERT AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062220",
            "telephone_number": "650-493-3778",
            "fax_number": "650-493-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LAMBERT AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062220",
            "telephone_number": "650-493-3778",
            "fax_number": "650-493-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MAUDE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.