SCOTT THOMAS TILSON (P.T.) – Physical Therapist, NPI 1124020839

SCOTT THOMAS TILSON (P.T.) is a healthcare provider. based in Sacramento, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 29504 (CA). The NPI Number for SCOTT THOMAS TILSON (P.T.) is 1124020839

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT THOMAS TILSON (P.T.)
NPI
1124020839
Phone
Not provided
Address
PO BOX 255228
Enumeration Date
12 August 2005
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167317935
Graduation Year
2004 (22 years ago)
PAC ID
5890703425
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20060324000336
Address ID
CA958165241SA1201XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for SCOTT THOMAS TILSON (P.T.)

  • Jack in the Box, 5800, Freeport Boulevard, Sacramento, Sacramento County, California, 95822, United States

    SACRAMENTO, CA 958655228

    Phone:

    Type: Mailing

  • 1201, Alhambra Boulevard, Sacramento, Sacramento County, California, 95816, United States

    SUITE 200

    SACRAMENTO, CA 958165238

    Phone: (916) 731-7900

    Type: Location

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: 2006-03-24

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
I20060324000336IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18347$0
97140Therapy procedure using manual technique, each 15 minutes8427$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6525$0
97161Evaluation for physical therapy, typically 20 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 95865)

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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: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SCOTT THOMAS TILSON (P.T.)?
SCOTT THOMAS TILSON (P.T.) — NPI 1124020839 — is the standard way to identify this listing.
Is SCOTT THOMAS TILSON (P.T.) listed as active for patients and plans?
The listing shows SCOTT THOMAS TILSON (P.T.) as active in the NPI system.
What is SCOTT THOMAS TILSON (P.T.) best known for clinically?
Directory data describes SCOTT THOMAS TILSON (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect SCOTT THOMAS TILSON (P.T.) on a map?
Expect Sacramento, California as a primary anchor for SCOTT THOMAS TILSON (P.T.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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