Organization Active NPI

Waite Rehab & Wellness

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1932436334
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4161 Issued in AL
Legal business name
WAITE REHAB & WELLNESS
Practice address
7915 Highway 72 W
Madison, AL 35758-9561
Phone
(256) 489-2704
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. Scott A Waite, M.P.T.NPI 1790709400
Title
Owner/Physical Therapist
Phone
(256) 489-2704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH4161 AL Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH4164 AL

Addresses

Primary practice location

7915 Highway 72 W
Madison, AL 35758-9561

Mailing address

7915 Highway 72 W
Madison, AL 35758-9561
Phone (256) 489-2704

Other identifiers 2

IdentifierTypeStateIssuer
1790709400OtherNPI
1962737775OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100126000230 AL Part B Supplier - Clinic/Group Practice 8527100742 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL; Madison, AL

National Provider Directory

National Provider Directory

Locations

1878 Jeff Rd NW
Ste E
Huntsville, AL 35806
Phone (256) 489-2704

7915 Highway 72 W
Madison, AL 35758
Phone (256) 489-2704

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1932436334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589561",
            "telephone_number": "256-489-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589561",
            "telephone_number": "256-489-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITE REHAB & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "256-489-2704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4161",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790709400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962737775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.