Individual provider Active NPI

Scott Webster Duncan, PT

  • Physical Therapist
  • Tumwater, WA
National Provider Identifier
1922102433
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8597 Issued in WA
Practice address
1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone
(360) 754-3338
Fax
(360) 753-4861
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 PT8597 WA Primary

Addresses

Primary practice location

1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303

Mailing address

1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone (360) 754-3338

Other practice location 1

5210 Corporate Center Ct SE Ste A
Lacey, WA 98503-5952
Phone (360) 764-8293

Other practice location 2

1220 W 1st St Ste B
Centralia, WA 98531-3018
Phone (360) 736-4151

Other practice location 3

404 Black Hills Ln SW Ste B
Olympia, WA 98502-8148
Phone (360) 943-1400

Other practice location 4

3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Phone (253) 272-2999

Other identifiers 2

IdentifierTypeStateIssuer
8385544MedicaidWA
271172OtherWAL AND I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120001259 WA Practitioner - Physical Therapist in Private Practice 3779762869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

1220 W 1St St
Suite B
Centralia, WA 98531-3018
Phone (360) 736-4151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8597WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness PLLC CurrentSince Apr 1, 2015 Accepting new patients
Fasa Family Wellness, PLLC CurrentSince Apr 1, 2015 Accepting new patients
Fasa Family Wellness, PLLC Current Accepting new patients

Locations

1220 W 1st St
#B
Centralia, WA 98531
Phone (360) 736-4151

5210 Corporate Center Ct SE
Ste A
Lacey, WA 98503
Phone (360) 754-3338

404 Black Hills Ln SW
Ste B
Olympia, WA 98502
Phone (360) 704-4745

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

3929 Bridgeport Way W
Ste 308
University Place, WA 98466
Phone (253) 272-2999

201 Tahoma Blvd
Unit 208
Yelm, WA 98597
Phone (360) 400-3338

Interoperability endpoints

  • Direct secure messaging: scottduncan@faasa-wa.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1922102433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-543-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338",
            "fax_number": "360-753-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Corporate Center Ct SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035952",
            "country_code": "US",
            "telephone_number": "360-764-8293",
            "fax_number": "360-706-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 W 1st St Ste B",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985313018",
            "country_code": "US",
            "telephone_number": "360-736-4151",
            "fax_number": "360-736-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Black Hills Ln SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028148",
            "country_code": "US",
            "telephone_number": "360-943-1400",
            "fax_number": "360-943-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 Bridgeport Way W Ste 308",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664455",
            "country_code": "US",
            "telephone_number": "253-272-2999",
            "fax_number": "253-272-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SCOTT",
        "middle_name": "WEBSTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT8597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8385544",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "271172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.