Provider Demographics
NPI:1174833685
Name:HOPSON, SCOTT J (DPT)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:HOPSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35550 SNOOTY FOX PL
Mailing Address - Street 2:
Mailing Address - City:ROUND HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20141-2390
Mailing Address - Country:US
Mailing Address - Phone:703-943-8776
Mailing Address - Fax:
Practice Address - Street 1:17337 PICKWICK DR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-6175
Practice Address - Country:US
Practice Address - Phone:703-943-8776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2022-06-22
Deactivation Date:2021-01-12
Deactivation Code:
Reactivation Date:2022-06-17
Provider Licenses
StateLicense IDTaxonomies
VA2305206706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist