Provider Demographics
NPI:1437191848
Name:ROSS D SCOTT RPT INC
Entity Type:Organization
Organization Name:ROSS D SCOTT RPT INC
Other - Org Name:SCOTT CENTER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:530-742-6385
Mailing Address - Street 1:209 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-5570
Mailing Address - Country:US
Mailing Address - Phone:530-742-6385
Mailing Address - Fax:530-742-5025
Practice Address - Street 1:209 6TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5570
Practice Address - Country:US
Practice Address - Phone:530-742-6385
Practice Address - Fax:530-742-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT2998208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1598882565OtherINDIVIDUAL NPI
CAZZZ80391ZMedicaid
CA195937800OtherACS
CAZZZ16545ZMedicare PIN
CA1598882565OtherINDIVIDUAL NPI
CAZZZ80391ZMedicare PIN