Scott McLain Wacker, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8600 Issued in CO

Practice address

1295 Westhaven Dr
Vail, CO 81657-4395

Phone

(970) 476-7510

Fax

(970) 476-7510

NPI assigned

Aug 13, 2006

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 and National Provider Directory roles.

• Movement Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Edwards, CO
  • NPI 1477855179
  Medicare reassignment NPD Authorized official
• Champion Sports Medicine and Physical Therapy, 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": "1222041600000",
    "number": "1700898913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816581311",
            "telephone_number": "970-476-7510",
            "fax_number": "970-476-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 WESTHAVEN DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574395",
            "telephone_number": "970-476-7510",
            "fax_number": "970-476-7510"
        }
    ],
    "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": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VVMC Diversified Services
• VVMC Diversified Services
• VVMC Diversified Services
• VVMC Diversified Services Inc
• Megan E Wacker, DPT
• Natalie Marie Wade
• Tiffany Larene Walker, RN
• Lori Walter, P.T.
• Marshall Tetsuo Walters, PA-C
• Katelyn McClure Watkins, DPT, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.