Organization Active NPI

Scott Madsen M.S.P.T. Rehabilitation, Inc.

Doing business as Madsen Physical Therapy

  • Physical Therapist
  • Prescott Valley, AZ
National Provider Identifier
1982735866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2433 Issued in AZ
Legal business name
SCOTT MADSEN M.S.P.T. REHABILITATION, INC.
Doing business as
Madsen Physical Therapy
Practice address
3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208
Phone
(928) 775-9500
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Madsen, PTNPI 1053449785
Title
President
Phone
(928) 775-9500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2433 AZ Primary

Addresses

Primary practice location

3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208

Mailing address

3075 N Windsong Dr
Suite C
Prescott Valley, AZ 86314-1208
Phone (928) 775-9500

Other identifiers 1

IdentifierTypeStateIssuer
430819MedicaidAZ

Other names 1

  • Madsen Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622001270 AZ Part B Supplier - Clinic/Group Practice 2567447626 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott Valley, AZ

National Provider Directory

National Provider Directory

Locations

3075 N Windsong Dr
Ste C
Prescott Valley, AZ 86314
Phone (928) 775-9500

2700 N Lake Valley Rd
Ste A1
Prescott Vly, AZ 86314
Phone (928) 775-9500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982735866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-775-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-775-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MADSEN M.S.P.T. REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-775-9500",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430819",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madsen Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.