Individual provider Active NPI

David Scarth

  • Physical Therapist
  • Marysville, WA
National Provider Identifier
1952411845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1094 Cedar Ave
Marysville, WA 98270-4233
Phone
(360) 653-4345
NPI assigned
Aug 30, 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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1094 Cedar Ave
Marysville, WA 98270-4233

Mailing address

10516 110TH St NE
Arlington, WA 98223-4926
Phone (425) 377-0155

Other identifiers 1

IdentifierTypeStateIssuer
PT00005259OtherWALICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000716 WA Practitioner - Physical Therapist in Private Practice 7810037447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proaction Physical Therapy PLLCGroup PAC ID 8921158882, 5 clinicians

Practice addresses (Care Compare)

1109 Frontier Cir E
Suite B
Lake Stevens, WA 98258-3442
Phone (360) 653-5800

6618 64TH St NE
Suite D
Marysville, WA 98270-4883
Phone (360) 653-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proaction Physical Therapy, PLLC Physical Therapist CurrentSince Nov 30, 2009 Accepting new patients
Select Physical Therapy Orthopedic Services, Inc. Past Accepting new patients

Locations

6618 64th St NE
Ste D
Marysville, WA 98270
Phone (360) 653-5800

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952411845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 110TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234926",
            "telephone_number": "425-377-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 CEDAR AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704233",
            "telephone_number": "360-653-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARTH",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT00005259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

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.