MR. SCOTT MATSUURA (PT) – Physical Therapist, NPI 1104829878

MR. SCOTT MATSUURA (PT) is a healthcare provider. based in Sunnyvale, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 24088 (CA). The NPI Number for MR. SCOTT MATSUURA (PT) is 1104829878

Main info

Male
28 Years Of Experience
Name
MR. SCOTT MATSUURA (PT)
NPI
1104829878
Phone
(408) 733-3670
Address
246 SOBRANTE WAY
Enumeration Date
24 May 2005
Last Update Date
27 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169056378
Graduation Year
1998 (28 years ago)
PAC ID
4183618564
Group Practice PAC ID
0941592067
Professional Enrollment ID
I20040408001519
Address ID
CA957477101RO10015BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MR. SCOTT MATSUURA (PT)

  • Sobrante Way, Sunnyvale, Santa Clara County, California, 94086, United States of America

    SUNNYVALE, CA 940864807

    Phone: (408) 733-3670

    Fax: (408) 245-7968

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408001519IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes61830$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33328$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17420$0
97530Therapy procedure using functional activities2016$0
97161Evaluation for physical therapy, typically 20 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 94086)

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Provider's Procedures

MR. SCOTT MATSUURA (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941592067View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. SCOTT MATSUURA (PT)?
MR. SCOTT MATSUURA (PT) — NPI 1104829878 — is the standard way to identify this listing.
Does the file indicate MR. SCOTT MATSUURA (PT) is practicing under active NPI?
Directory data currently reports MR. SCOTT MATSUURA (PT) as active.
What is MR. SCOTT MATSUURA (PT)'s specialty?
The listing groups MR. SCOTT MATSUURA (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. SCOTT MATSUURA (PT)?
MR. SCOTT MATSUURA (PT)'s geographic hint is Sunnyvale, California in our summary view.
Is the information about MR. SCOTT MATSUURA (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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