MEDICARE: SCOTT RICHARD BOOKHOUT PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5994	MN

General Provider Information

NPI Number	:	1477637825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT RICHARD BOOKHOUT PT

Provider Business Mailing Address
First Line	:	3500 AMERICAN BLVD W STE 300
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55431-4442
Country	:	US
Telephone Number	:	612-512-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5107 W 98TH ST
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-2040
Country	:	US
Telephone Number	:	877-609-0123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	06/18/2025

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Directions to “ SCOTT RICHARD BOOKHOUT PT” Practice Location

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