Provider Demographics
NPI:1104370469
Name:SCAIA, VINCENT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:SCAIA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 W 4TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-2561
Mailing Address - Country:US
Mailing Address - Phone:419-774-5520
Mailing Address - Fax:540-982-7637
Practice Address - Street 1:890 W 4TH ST STE 100
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-2561
Practice Address - Country:US
Practice Address - Phone:419-774-5520
Practice Address - Fax:540-982-7637
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist