Active NPI
Scott Nossek, PT, MS
- Physical Therapist
- Payson, AZ
National Provider Identifier
1861495210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1674
- Practice address
- 405 W Main St
Ste D
Payson, AZ 85541-5345 - Phone
- (928) 474-0429
- Fax
- (928) 474-0199
- NPI assigned
- May 31, 2005
- Last updated
- Sep 23, 2010
- 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 | 1674 | AZ | Primary |
Addresses
Primary practice location
405 W Main St
Ste D
Payson, AZ 85541-5345
Mailing address
405 W Main St
Ste D
Payson, AZ 85541-5345
Phone (928) 474-0429
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0295990 | Other | AZ | BCBS AZ |
| DOL OWCP | Other | AZ | 189208700 |
| 000227851 | Other | AZ | AZ STATE DES CMDP |
| 056350 | Medicaid | AZ | |
| 650008704 | Other | AZ | MEDICARE RR |
| 1Z6798 | Other | AZ | HEALTH NET |
| 64-00187 | Other | AZ | UNITED HEALTH PLAN |
| F02383 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Main St
Suite D
Payson, AZ 85541-5345
Phone (928) 474-0429
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.22 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1674 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenney Rehab | Physical Therapist | Current | Accepting new patients |
Locations
405 W Main St
Ste D
Payson, AZ 85541
Phone (928) 474-0429
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1861495210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"address_2": "STE D",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415345",
"telephone_number": "928-474-0429",
"fax_number": "928-474-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"address_2": "STE D",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415345",
"telephone_number": "928-474-0429",
"fax_number": "928-474-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSSEK",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0295990",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "189208700",
"identifier": "DOL OWCP",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE DES CMDP",
"identifier": "000227851",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056350",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "650008704",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z6798",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "64-00187",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F02383",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
- North Beeline Dental LLC (Anderson Dental Group)
- North Country Healthcare Inc
- Northern Arizona Pain Services LLC (Integricare AZ)
- Northland Hearing Centers, Inc. (SoundPoint Hearing Centers)
- Nossek Rehab LLC (Payson Physical Therapy)
- Kelly Odegaard, PHARMD
- Ordinary Lifestyles, LLC
- Ordinary Lifestyles, LLC (Ordinary Lifestyles IV)
- Ordinary Lifestyles, LLC (Ordinary Lifestyles II)
- Ordinary Lifestyles, LLC (Ordinary Lifestyles III)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.