Individual provider Active NPI

Scott Arthur McClave

  • Physical Therapist
  • Kenmore, WA
National Provider Identifier
1992109615
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60475839 Issued in WA
Practice address
6161 NE 175TH St
Suite 203
Kenmore, WA 98028-4800
Phone
(425) 482-2453
NPI assigned
Oct 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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 PT60475839 WA Primary

Addresses

Primary practice location

6161 NE 175TH St
Suite 203
Kenmore, WA 98028-4800

Mailing address

1136 Yakima Ave S
Seattle, WA 98144-3126
Phone (805) 501-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60475839WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Kriz PLLC Physical Therapist CurrentSince Feb 10, 2020 Accepting new patients
Corpore Sano LLC Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Sep 2, 2021 Accepting new patients

Locations

100 NE Northlake Way
Ste 200B
Seattle, WA 98105
Phone (206) 295-3870

Organizations & group practices 3

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1992109615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 YAKIMA AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443126",
            "telephone_number": "805-501-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 NE 175TH ST",
            "address_2": "SUITE 203",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284800",
            "telephone_number": "425-482-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAVE",
        "first_name": "SCOTT",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60475839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.