Active NPI
Scott R Corbett, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Saint Louis Park, MN
National Provider Identifier
1760564108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 41370
- Practice address
- 3601 Park Center Blvd Ste 308
Saint Louis Park, MN 55416-2525 - Phone
- (952) 920-0846
- Fax
- (952) 920-0846
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 41370 | MN | Primary |
Addresses
Primary practice location
3601 Park Center Blvd Ste 308
Saint Louis Park, MN 55416-2525
Mailing address
8120 Penn Ave S
Ste 440
Bloomington, MN 55431-1326
Phone (952) 920-0846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003560200 | Medicaid | MN | |
| 70D62CO | Other | BC/BS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- College of Osteo Med of the Pacific at Pomona, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8120 Penn Ave S
Suite 440
Bloomington, MN 55431-1326
Phone (952) 920-0846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillpoint Osteopathic, LTD. | Current | Accepting new patients |
Locations
8120 Penn Ave S
Ste 440
Minneapolis, MN 55431
Phone (952) 920-0844
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.
-
- Clinic/Center
- Saint Louis Park, MN
- NPI 1821247610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570838400000",
"number": "1760564108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 PENN AVE S",
"address_2": "STE 440",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311326",
"telephone_number": "952-920-0846",
"fax_number": "952-920-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 PARK CENTER BLVD STE 308",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554162525",
"telephone_number": "952-920-0846",
"fax_number": "952-920-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2019-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MN",
"license": "41370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003560200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER ID",
"identifier": "70D62CO",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.