Provider Demographics
NPI:1477525525
Name:WOROBEY, SCOTT I (MSPT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:I
Last Name:WOROBEY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OLD WILLIS FARM RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2982
Mailing Address - Country:US
Mailing Address - Phone:508-697-2997
Mailing Address - Fax:
Practice Address - Street 1:1250 NEW STATE HWY
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-1047
Practice Address - Country:US
Practice Address - Phone:508-824-6800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY67739OtherBLUE CROSS BLUE SHIELD
MAY67739OtherBLUE CROSS BLUE SHIELD