Provider Demographics
NPI:1497956197
Name:FLOYD, SCOTT ALAN (PT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALAN
Last Name:FLOYD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 OSBORNE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-9134
Mailing Address - Country:US
Mailing Address - Phone:912-882-3673
Mailing Address - Fax:912-882-3640
Practice Address - Street 1:218 HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-2938
Practice Address - Country:US
Practice Address - Phone:843-491-2041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009786225100000X
SC5961225100000X
FLPT16505225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist