Scott John Woffinden, PA-C, PT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4966 Issued in AZ

Practice address

3825 N 24TH St
Phoenix, AZ 85016-6512

Phone

(602) 955-7997

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Skyline Physical Therapy Aquatics and Rehab Specialists

  • Physical Therapist
  • Apache Junction, AZ
  • NPI 1720022346
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912933532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 E DOWNING CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136929",
            "telephone_number": "480-924-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-955-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFINDEN",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "credential": "PA-C, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Wnuk, RT
• Masresha Hailu Wodajo
• David L Wodrich, PH.D.
• John V Woellner, MD
• Charles Brent Woffinden, D.D.S.
• James Wogan, LAC
• Kelsey Wogan, OTR
• Stephanie Marie Wogomon
• Woh PLC LLC
• John Wohler, MD

• All providers in Phoenix, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.