Provider Demographics
NPI:1497180202
Name:SCOTT-SMITH, BRITTANI (PT)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:SCOTT-SMITH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 G ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3109
Mailing Address - Country:US
Mailing Address - Phone:770-880-5682
Mailing Address - Fax:
Practice Address - Street 1:1501 G ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3109
Practice Address - Country:US
Practice Address - Phone:708-805-6827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011130225100000X
VA2305212961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist