Active NPI
Scott W Judd, PT
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1972000263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294700
- Practice address
- 5350 Madison Ave
Sacramento, CA 95841-3169 - Phone
- (916) 677-0008
- NPI assigned
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294700 | CA | Primary |
Addresses
Primary practice location
5350 Madison Ave
Sacramento, CA 95841-3169
Mailing address
5350 Madison Ave
Sacramento, CA 95841-3169
Other practice location 1
5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008
Other practice location 2
5350 Madison Ave
Sacramento, CA 95841-3169
Phone (916) 677-0008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294700 | Other | PT | |
| 294700 | Other | CA | PHYSICAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Western University of Health Sciences College of Dental Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5350 Madison Ave
Sacramento, CA 95841-3169
Phone (916) 677-0008
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294700 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical Inc | Current | Accepting new patients |
Locations
5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008
Organizations & group practices 1
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1710857933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1972000263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 MADISON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 MADISON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413169",
"telephone_number": "916-677-0008"
}
],
"practiceLocations": [
{
"address_1": "5350 Madison Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95841",
"country_code": "US",
"telephone_number": "916-677-0008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5350 Madison Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958413169",
"country_code": "US",
"telephone_number": "916-677-0008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUDD",
"first_name": "SCOTT",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "294700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "294700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.