Individual provider Active NPI

Scott P Byrd, PT

  • Orthopedic Physical Therapist
  • Medford, OR
National Provider Identifier
1912938614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3304 Issued in OR
Practice address
1060 Crater Lake Ave
Ste a
Medford, OR 97504-2205
Phone
(541) 776-2035
Fax
(541) 776-2036
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3304 OR Primary

Addresses

Primary practice location

1060 Crater Lake Ave
Ste a
Medford, OR 97504-2205

Mailing address

3339 Henderson Way
Medford, OR 97504-9719
Phone (541) 776-2035

Other identifiers 1

IdentifierTypeStateIssuer
227065MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000989 OR Practitioner - Physical Therapist in Private Practice 7810185451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Physical Therapy LLPGroup PAC ID 4284615311, 12 clinicians

Practice addresses (Care Compare)

36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3304ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Physical Therapy LLP Orthopedic CurrentSince Jul 31, 2023 Accepting new patients

Locations

36 Hawthorne St
Medford, OR 97504
Phone (541) 776-2333

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912938614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 HENDERSON WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049719",
            "telephone_number": "541-776-2035",
            "fax_number": "541-776-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CRATER LAKE AVE",
            "address_2": "STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975042205",
            "telephone_number": "541-776-2035",
            "fax_number": "541-776-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "SCOTT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227065",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.