Individual provider Active NPI

Scott W Judd, PT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1972000263
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294700 Issued in CA
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

Updated by the provider on Apr 12, 2018

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 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

IdentifierTypeStateIssuer
294700OtherPT
294700OtherCAPHYSICAL THERAPIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522000624 CA Practitioner - Physical Therapist in Private Practice 4981969037 Reassigns benefits to 1 organization

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
Good Health Medical IncGroup PAC ID 4385130517, 10 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294700CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical Inc CurrentSince Dec 2, 2025 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.

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.

Verify at the official NPI Registry.