JACQUELINE SCOTT (DPT) – Physical Therapist, NPI 1104190552

JACQUELINE SCOTT (DPT) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 60259458 (WA). The NPI Number for JACQUELINE SCOTT (DPT) is 1104190552

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE SCOTT (DPT)
NPI
1104190552
Phone
(541) 484-9632
Address
4242 COMMERCE ST
Enumeration Date
2 March 2012
Last Update Date
25 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413446446
Graduation Year
2011 (15 years ago)
PAC ID
8921240102
Group Practice PAC ID
9537153457
Professional Enrollment ID
I20160111002570
Address ID
OR974012626EU444XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for JACQUELINE SCOTT (DPT)

  • 4242 COMMERCE ST

    SUITE A

    EUGENE, OR 974025418

    Phone: (541) 484-9632

    Fax: (541) 484-7466

    Type: Location

  • 16083 SW UPPER BOONES FERRY RD

    STE. 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

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: 2016-01-11

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
I20160111002570IPhysical Therapist In Private PracticeORTBD

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
97530Therapy procedure using functional activities1,63935$0
View full utilization report →

Insurance plans in this area (ZIP 97402)

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Provider's Procedures

JACQUELINE SCOTT (DPT) 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 THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12228

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: 9537153457View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
-OR

Reviews

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Frequently asked questions

What identifier follows JACQUELINE SCOTT (DPT) across health systems?
The NPI 1104190552 uniquely identifies JACQUELINE SCOTT (DPT) in U.S. healthcare data.
Is JACQUELINE SCOTT (DPT) currently accepting referrals based on NPI status?
Registry metadata lists JACQUELINE SCOTT (DPT) as active.
What services align with JACQUELINE SCOTT (DPT)'s listing?
JACQUELINE SCOTT (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JACQUELINE SCOTT (DPT) tied to Eugene, Oregon?
If you are local to Eugene, Oregon, JACQUELINE SCOTT (DPT) may be relevant to your search.
Why is information missing for JACQUELINE SCOTT (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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