Provider Demographics
NPI:1134117815
Name:MCCARTY, SCOTT D (MS PT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:D
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
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Mailing Address - Street 1:4615 OLD PITTSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:WAMPUM
Mailing Address - State:PA
Mailing Address - Zip Code:16157-5617
Mailing Address - Country:US
Mailing Address - Phone:724-752-2964
Mailing Address - Fax:
Practice Address - Street 1:500 MARKET ST
Practice Address - Street 2:STE 103
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2998
Practice Address - Country:US
Practice Address - Phone:724-728-7550
Practice Address - Fax:724-728-6648
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT003589L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA061984QYHMedicare ID - Type Unspecified