Active NPI
Scott Edward Garavaglia
- Physical Therapist
- Ferndale, MI
National Provider Identifier
1821551680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019083
- Practice address
- 911 E 9 Mile Rd
Ferndale, MI 48220-1934 - Phone
- (248) 336-4000
- Fax
- (248) 336-9137
- NPI assigned
- Apr 9, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019083 | MI | Primary |
Addresses
Primary practice location
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Mailing address
PO Box 20267
Ferndale, MI 48220-0267
Phone (248) 336-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18591 W 10 Mile Rd
Epic Primary Care PLLC
Southfield, MI 48075-2619
Phone (248) 336-4000
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019083 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Primary Care II PLLC | Past | Accepting new patients |
Interoperability endpoints
- scottgaravaglia@epicpc.allscriptsdirect.net
- scott.garavaglia.1@33060.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Ferndale, MI
- NPI 1811226749
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1659145506
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1235526047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1821551680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20267",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482200267",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E 9 MILE RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201934",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAVAGLIA",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.