Provider Demographics
NPI:1487178455
Name:SCOTT, ASHLEIGH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
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 1:2110 CAROLINA AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1738
Mailing Address - Country:US
Mailing Address - Phone:540-343-0055
Mailing Address - Fax:540-343-0056
Practice Address - Street 1:2110 CAROLINA AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1738
Practice Address - Country:US
Practice Address - Phone:540-343-0055
Practice Address - Fax:540-343-0056
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211363225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist