Individual provider Active NPI

Peter Scordo, PT

  • Physical Therapist
  • Somers Point, NJ
National Provider Identifier
1992729677
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA06574 Issued in NJ
Practice address
67 Higbee Ave
Somers Point, NJ 08244-2323
Phone
(609) 204-4849
Fax
(609) 653-1258
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 QA06574 NJ Primary

Addresses

Primary practice location

67 Higbee Ave
Somers Point, NJ 08244-2323

Mailing address

67 Higbee Ave
Somers Point, NJ 08244-2323
Phone (609) 204-4849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000049 NJ Practitioner - Physical Therapist in Private Practice 5395641948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849

Merit-based Incentive Payment System (MIPS)

Final score
69.23 of 100Reported as individual
Quality
71.67
Improvement activities
30
Cost
61.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC Physical Therapist CurrentSince Jan 8, 2014 Accepting new patients
Therapy Choice, LLC Physical Therapist PastSince Oct 24, 1998 Accepting new patients

Locations

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

408 Rio Grande Ave
Rio Grande, NJ 08242
Phone (609) 204-4849

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1992729677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849",
            "fax_number": "609-653-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849",
            "fax_number": "609-653-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDO",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA06574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.