Individual provider Active NPI

Scott M Van Camp, DPT

  • Physical Therapist
  • Springdale, AR
National Provider Identifier
1891260774
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4526 Issued in AR
Practice address
2422 N Thompson St
Springdale, AR 72764-1757
Phone
(479) 751-3043
NPI assigned
Oct 8, 2018
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4526 AR Primary

Addresses

Primary practice location

2422 N Thompson St
Springdale, AR 72764-1757

Mailing address

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8630

Other practice location 1

3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone (479) 966-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000196 AR Practitioner - Physical Therapist in Private Practice 0648524041 Reassigns benefits to 3 organizations

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)

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4526ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Sep 30, 2020 Accepting new patients
University of Arkansas for Medical Sciences Physical Therapist CurrentSince Sep 30, 2020 Accepting new patients
The Orthopaedic and Joint Preservation Center of Arkansas, P.a. CurrentSince Aug 25, 2018 Accepting new patients
Hill & Ironside LTD Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

642 W Lancashire Blvd
Bella Vista, AR 72715
Phone (479) 876-6686

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

201 W Van Asche Loop
Fayetteville, AR 72703
Phone (479) 966-4311

3900 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 966-4187

201 S 19th St
Ste S
Rogers, AR 72758
Phone (479) 631-3955

Organizations & group practices 4

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1891260774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-713-8630",
            "fax_number": "479-713-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-751-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 N Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727036398",
            "country_code": "US",
            "telephone_number": "479-966-4187",
            "fax_number": "479-966-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN CAMP",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.