Provider Demographics
NPI:1043374101
Name:SCOFIELD, ARTHUR IV (PT)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:SCOFIELD
Suffix:IV
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:8890 CENTRE PARK DR STE 400
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2170
Practice Address - Country:US
Practice Address - Phone:410-884-6000
Practice Address - Fax:410-884-9990
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD015974J28Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE