Active NPI
Scott P Byrd, PT
- Orthopedic Physical Therapist
- Medford, OR
National Provider Identifier
1912938614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3304
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227065 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3304 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Physical Therapy LLP | Orthopedic | Current | 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.
-
- Orthopedic Physical Therapist
- Medford, OR
- NPI 1083827406
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.