DR. SCOTT D FENSTERMACHER PT, DPT
NPI 1104283282
Physical Therapist in Newark, DE

Active since January 21, 2016Accepts Medicare Assignment
540 S COLLEGE AVE, SUITE 160, NEWARK, DE 19713(302) 831-8893 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Scott D Fenstermacher Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT D FENSTERMACHER PT, DPT (NPI 1104283282) is an individual physical therapist in Newark, Delaware, licensed in Delaware (J1-0003440) and active in the NPI registry since January 2016. He maintains a secondary practice location in Hartford City and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104283282
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. SCOTT D FENSTERMACHERCredential: PT, DPT
Location Address540 S COLLEGE AVE, SUITE 160Newark, DE 19713-1302
Mailing Address540 S College Ave, Suite 160Newark, DE 19713-1302 · (302) 831-8893
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 21, 2016
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1104283282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in DE · J1-0003440
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 05014405A (IN)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 05014405A (IN)
540 S COLLEGE AVE, Newark, DE 19713

Secondary Practice Location 1

Location 1410 Pilgrim BlvdHartford City, IN 47348-1382 · Phone (765) 348-4197

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott D Fenstermacher Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799149050
PECOS Enrollment IDI20230919004325

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Fenstermacher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
410 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
540 S COLLEGE AVE
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
540 S COLLEGE AVE
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
540 S COLLEGE AVE
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
540 S COLLEGE AVE
NEWARK, DE 19713
Physical Therapist
540 S COLLEGE AVE, SUITE 160
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
540 S COLLEGE AVE
NEWARK, DE 19713
Physical Therapist
540 S COLLEGE AVE
NEWARK, DE 19713
Physical Therapist
540 S COLLEGE AVE, SUITE 160
NEWARK, DE 19713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Fenstermacher's NPI number?

The NPI number for Scott Fenstermacher is 1104283282. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Scott Fenstermacher located?

Scott Fenstermacher practices at 540 S College Ave Suite 160, Newark, DE 19713. The listed phone number is (302) 831-8893.

What is Scott Fenstermacher's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Scott Fenstermacher enrolled in Medicare?

Yes. Scott Fenstermacher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Fenstermacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Fenstermacher reassigns Medicare benefits to 2 organizations: Indiana University Health Blackford Hospital Inc (Hartford City, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Fenstermacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Fenstermacher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Scott Fenstermacher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Fenstermacher was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.