Timothy William Scanlon, PT, DPT, CSCS
NPI 1619611076ActiveIndividual· Physical Therapist· Kingman, AZ
Physical Therapist (PT, DPT, CSCS) with Affiliated Physical Therapy, practicing in Kingman, Arizona. Medicare paid $36,856 for services to 115 patients in 2024.
Overview
| NPI | 1619611076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, CSCS |
| Sole proprietor | No |
| NPI issued | Apr 22, 2022 |
| Last updated in NPPES | May 2, 2022 |
| Certified by provider | May 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-31500 | AZ |
| Physical Therapist | 225100000X | 4395 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 115 |
|---|---|
| Services billed | 1,666 across 9 procedure codes |
| Paid by Medicare | $36,856 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Affiliated Physical TherapyLas Vegas, NV · 48 clinicians
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