Scott McLain Wacker, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8600 Issued in CO

Practice address

275 Main St Unit C-102
Edwards, CO 81632-7806

Phone

(970) 926-0767

Fax

(888) 877-3651

NPI assigned

Aug 13, 2006

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Movement Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Edwards, CO
  • NPI 1477855179
  Medicare reassignment NPD Authorized official
• Champion Sports Medicine and Physical Therapy, LLC

  dba Elevate Physical Therapy and Coaching, LLC

  • Physical Therapy Clinic/Center
  • Lakewood, CO
  • NPI 1912955790
  NPD (past)
• Rocky Mountain Spine & Sport

  • Physical Therapist
  • Denver, CO
  • NPI 1245549849
  NPD (past)
• Vail Physical Therapy, LLC

  • Physical Therapist
  • Vail, CO
  • NPI 1376162883
  NPD (past)
• Vail Sports Medicine Physical Therapy PC

  • Physical Therapist
  • Vail, CO
  • NPI 1508867227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1700898913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAIN ST UNIT C-102",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327806",
            "telephone_number": "970-926-0767",
            "fax_number": "888-877-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAIN ST UNIT C-102",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327806",
            "telephone_number": "970-926-0767",
            "fax_number": "888-877-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "SCOTT",
        "middle_name": "MCLAIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VVMC Diversified Services (Vail Health Clinics)
• VVMC Diversified Services (Northstar Urology)
• VVMC Diversified Services (Walk-In)
• VVMC Diversified Services (Vail Valley OB Gyn Associates)
• VVMC Diversified Services (Vail Health Clinics VVSC Edwards)
• Alayna Wade, CCC-SLP
• Ann Elizabeth Wahouske, APN
• Lori Walker, PT
• Phoebe Walters
• Linda Wells, M.ED, RMT

• Physical Therapist in Edwards, CO
• Providers in Edwards, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.