Kevin John Sgroi, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1457 Issued in ID

Practice address

8300 N Wayne Dr
Hayden, ID 83835-6027

Phone

(208) 772-9774

Fax

(208) 772-9564

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joshua Tree Physical Therapy PLLCGroup PAC ID 8123007598, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joshua Tree Physical Therapy PLLC

  • Specialist
  • Hayden, ID
  • NPI 1477566941
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1770678484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356027",
            "telephone_number": "208-772-9774",
            "fax_number": "208-772-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356027",
            "telephone_number": "208-772-9774",
            "fax_number": "208-772-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGROI",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807014300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Scoffield, IAYT
• Andrea J Scott, PHARM D
• Jett Scrimsher, OD
• Selkirk Diagnostics, LLC
• Sensory Squad OT LLC
• Tod Alan Sijan, PA-C
• Jenna Silakoski, D.O.
• Erin Simkins
• Andrew Simnhoung
• Marie Singleton

• Physical Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.