Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Scott Alexander Packebush

Specialist/Technologist - Athletic Trainer β€’ Bellevue, WA

Active NPI 1700546264 Individual Practitioner Male Practitioner
Practice location in NPPES

13425 Se 30th St Ste 2c
Bellevue, WA 980054450

Call 4252523908 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13425 Se 30th St Ste 2c

Bellevue, WA 980054450

Telephone 4252523908
Organization at the Same NPPES Address or Phone
Integrated Rehabilitation Group Inc Facility NPI 1427113174

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bellevue and Washington

11 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Bellevue, WA (820 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellevue

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-21
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES WA A161315490

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Bernard Bansil

Physical Therapist

NPI 1336693175
NPI 1861552747

Doctor of Physical Therapy, Certified Strength and Conditioning Specialist

NPI 1871161935

Physical Therapist, Doctor of Physical Therapy

Dr. Jacob Hughes , PT, DPT

Physical Therapist

NPI 1679189823

Physical Therapist, Doctor of Physical Therapy

Dr. Gary Mullen , DPT

Physical Therapist

NPI 1568704799

Doctor of Physical Therapy

Lauren Reinhard , PT

Physical Therapist

NPI 1376036004

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 29, 2022

Registered at 13425 SE 30TH ST STE 2C, BELLEVUE, WA 980054450 (Tel: 4252523908)

πŸ“
Updated Business Mailing Address June 29, 2022

Registered at 22500 SE 56TH ST APT 18-301, ISSAQUAH, WA 980295266 (Tel: 6613314473)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2022

Specialist/Technologist

βœ…
NPI Profile Active December 26, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 26, 2021

Registered at 4400 NW WALNUT BLVD APT 35, CORVALLIS, OR 973303282 (Tel: 6613314473)

πŸ“
Business Mailing Address (Initial Record) December 26, 2021

Registered at 4400 NW WALNUT BLVD APT 35, CORVALLIS, OR 973303282 (Tel: 6613314473)

πŸ‘€
Provider Name / Credentials (Initial Record) December 26, 2021

Recorded as SCOTT PACKEBUSH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 26, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1700546264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2021
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

22500 Se 56th St Apt 18-301

Issaquah, WA 980295266

Phone: 6613314473

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.